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Brayden Bradley Mortensen
Family Nurse Practitioner in Durham, North Carolina
NPI 1568187169

Brayden Bradley Mortensen is a Family Nurse Practitioner based in Durham, NC and is specialized in Family. Brayden Bradley Mortensen practices in Durham, NC. The NPI Number for Brayden Bradley Mortensen is 1568187169 and holds a License No. 5017006 (North Carolina).

The current practice location address for Brayden Bradley Mortensen is 5716 Fayetteville Rd, Durham, NC and can be reached out via phone at 919-572-1868.

Location: 5716 Fayetteville Rd, Durham, NC, 27707-9057
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568187169
Provider Name
Brayden Bradley Mortensen
Credential
Provider Entity Type
Individual
Gender
Male
Address
5716 Fayetteville Rd, Durham, NC, 27707-9057
Phone Number
919-572-1868
Fax Number
Provider Enumeration Date
10/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5716 Fayetteville Rd
City
Durham
State
North Carolina
Zip
27713-9661
Phone Number
919-572-1868
Fax Number
person
Provider Business Mailing Address Details
Address
5716 Fayetteville Rd
City
Durham
State
North Carolina
Zip
27713-9661
Phone Number
919-572-1868
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
5017006 (North Carolina)
Definition
Definition to come...
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