Provider Demographics
NPI:1649533316
Name:DURHAM, NANCY KATE (MSN, APRN, EFNP, CDE)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:KATE
Last Name:DURHAM
Suffix:
Gender:F
Credentials:MSN, APRN, EFNP, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 PELLHAM ROAD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-3300
Mailing Address - Country:US
Mailing Address - Phone:864-234-5800
Mailing Address - Fax:864-234-5888
Practice Address - Street 1:800 PELHAM ROAD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-3300
Practice Address - Country:US
Practice Address - Phone:864-234-5800
Practice Address - Fax:864-234-5888
Is Sole Proprietor?:No
Enumeration Date:2012-06-19
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1744R1102X
SCF1307363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No1744R1102XOther Service ProvidersSpecialistResearch Study