Healthcare Provider Details

I. General information

NPI: 1649533316
Provider Name (Legal Business Name): NANCY KATE DURHAM MSN, APRN, EFNP, CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2012
Last Update Date: 11/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 PELHAM ROAD
GREENVILLE SC
29615-3300
US

IV. Provider business mailing address

800 PELLHAM ROAD
GREENVILLE SC
29615-3300
US

V. Phone/Fax

Practice location:
  • Phone: 864-234-5800
  • Fax: 864-234-5888
Mailing address:
  • Phone: 864-234-5800
  • Fax: 864-234-5888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1744R1102X
TaxonomyResearch Study Specialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF1307
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: