MEDICARE: DR. MARY ALYCE CURRAN PHD, APRN, FNP, BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	200987	NC

General Provider Information

NPI Number	:	1205822467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY ALYCE CURRAN PHD, APRN, FNP, BC

Provider Business Mailing Address
First Line	:	106 FOREST CT
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-8918
Country	:	US
Telephone Number	:	704-875-9467
Fax Number	:

Provider Business Practice Location Address
First Line	:	1611 EAST INNES STREET
Second Line	:
City	:	SALISBURY
State	:	NC
Zip	:	28146-6030
Country	:	US
Telephone Number	:	704-216-8777
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2005
Last Update Date	:	07/08/2007

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