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Shellalyn Ito-lucas
Acute Care Nurse Practitioner in Durham, North Carolina
NPI 1295214013

Shellalyn Ito-lucas is an Acute Care Nurse Practitioner based in Wake Forest, NC and is specialized in Acute Care. Shellalyn Ito-lucas practices in Durham, NC. The NPI Number for Shellalyn Ito-lucas is 1295214013 and holds a License No. 26NR11878000 (North Carolina).

The current practice location address for Shellalyn Ito-lucas is 3643 N Roxboro St, Durham, NC and can be reached out via phone at 919-470-4000.

Location: 3643 N Roxboro St, Durham, NC, 27587-3221
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Provider Profile Details
NPI Number
1295214013
Provider Name
Shellalyn Ito-lucas
Credential
Provider Entity Type
Individual
Gender
Female
Address
3643 N Roxboro St, Durham, NC, 27587-3221
Phone Number
919-470-4000
Fax Number
Provider Enumeration Date
08/13/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1295214013 01 NPI
institution
Provider Business Practice Location Address Details
Address
3643 N Roxboro St
City
State
Zip
27704-2702
Phone Number
919-470-4000
Fax Number
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Provider Business Mailing Address Details
Address
3643 N Roxboro St
City
State
Zip
27704-2702
Phone Number
919-470-4000
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
26NR11878000 (New Jersey)
Definition
Definition to come...
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