Provider Demographics
NPI:1255773644
Name:SANJURJO, DAVID (DNP, APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:SANJURJO
Suffix:
Gender:
Credentials:DNP, 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 1:3801 WAKE FOREST RD STE 110
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-6864
Mailing Address - Country:US
Mailing Address - Phone:984-263-4110
Mailing Address - Fax:
Practice Address - Street 1:3801 WAKE FOREST RD STE 110
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-6864
Practice Address - Country:US
Practice Address - Phone:984-263-4110
Practice Address - Fax:984-263-4117
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-25
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9309268363LF0000X
NC5011240363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily