Healthcare Provider Details

I. General information

NPI: 1013434257
Provider Name (Legal Business Name): STEPHANIE HOWARD SPAULDING FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2017
Last Update Date: 09/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 DUKE MEDICAL CIR # 1J
DURHAM NC
27710-3006
US

IV. Provider business mailing address

BOX DUMC 2978 40 DUKE MEDICINE CIRCLE CLINIC 1J
DURHAM NC
27710-0001
US

V. Phone/Fax

Practice location:
  • Phone: 919-613-2243
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5009813
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: