Provider Demographics
NPI:1205822467
Name:CURRAN, MARY ALYCE (PHD, APRN, FNP, BC)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:ALYCE
Last Name:CURRAN
Suffix:
Gender:F
Credentials:PHD, APRN, FNP, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 FOREST CT
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-8918
Mailing Address - Country:US
Mailing Address - Phone:704-875-9467
Mailing Address - Fax:
Practice Address - Street 1:1611 EAST INNES STREET
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28146-6030
Practice Address - Country:US
Practice Address - Phone:704-216-8777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200987363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily