Individual provider · Type 1 NPI

Mary Therese Phelan, FNP

Family Nurse Practitioner · Raleigh, NC

NPI number 1629552567 Active

Practice location

815 Oberlin Rd
Raleigh, NC 27605-1300

Mailing address

9318 Lennox Laurel Cir
Raleigh, NC 27617-2068

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X5010958 (NC)

Family Nurse Practitioner: Definition to come...

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About NPI 1629552567

Mary Therese Phelan, FNP's National Provider Identifier is 1629552567, issued on Sep 17, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Raleigh, NC. The record was last updated on Sep 17, 2018.