Deidre Consol, AGPCNP-BC | |
115 Market St, Durham, NC 27701-3251 | |
(919) 937-9190 | |
Not Available |
Full Name | Deidre Consol |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 115 Market St, Durham, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568867968 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 245170 (North Carolina) | Primary |
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191001003503 |
Mailing Address | Practice Location Address |
---|---|
Deidre Consol, AGPCNP-BC 115 Market St, Durham, NC 27701-3251 Ph: (919) 937-9190 | Deidre Consol, AGPCNP-BC 115 Market St, Durham, NC 27701-3251 Ph: (919) 937-9190 |
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