Provider Demographics
NPI:1033570635
Name:STEWART DURHAM, NAOMI (APRN, CNP)
Entity Type:Individual
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First Name:NAOMI
Middle Name:
Last Name:STEWART DURHAM
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Gender:F
Credentials:APRN, CNP
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Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:12 READS WAY
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-1649
Mailing Address - Country:US
Mailing Address - Phone:302-323-7142
Mailing Address - Fax:302-323-7622
Practice Address - Street 1:12 READS WAY
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-1649
Practice Address - Country:US
Practice Address - Phone:302-323-7142
Practice Address - Fax:302-323-7622
Is Sole Proprietor?:No
Enumeration Date:2016-03-10
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DELP-0000146363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care