MEDICARE: SUMMER QADOURA

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	163W00000X	Registered Nurse	361216	NC

General Provider Information

NPI Number	:	1457280786
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUMMER QADOURA

Provider Business Mailing Address
First Line	:	219 LOCHVIEW DR
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27518-9620
Country	:	US
Telephone Number	:	919-333-5685
Fax Number	:

Provider Business Practice Location Address
First Line	:	7011 FAYETTEVILLE RD
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27713-7745
Country	:	US
Telephone Number	:	919-806-3335
Fax Number	:

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

Provider Enumeration Date	:	05/14/2026
Last Update Date	:	05/14/2026

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Directions to “ SUMMER QADOURA ” Practice Location

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