Individual provider · Type 1 NPI
Shellalyn Ito-Lucas
Acute Care Nurse Practitioner · Durham, NC
NPI number
1295214013
Active
Practice location
3643 N Roxboro St
Durham, NC 27704-2702
Mailing address
1000 Lakeside Terrace Ct Apt 112
Wake Forest, NC 27587-3221
Other practice locations
- 2310 Erwin Rd, Durham, NC 27710-2702 · (919) 470-4000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 26NR11878000 (NJ) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 5018236 (NC) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1295214013
Shellalyn Ito-Lucas's National Provider Identifier is 1295214013, issued on Aug 13, 2018. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Durham, NC. The record was last updated on Aug 4, 2023.