Marcella Massenburg Atwater, PMHCNS-BC
Clinical Nurse Specialist, Psych/Mental Health, Adult in Durham, NC. Individual provider (NPI-1).
NPI number1700038353
StatusActive
Last updated in NPPESSep 19, 2014
Details
- NPI
- 1700038353
- Entity type
- Individual (NPI-1)
- Name
- Ms. Marcella Massenburg Atwater
- Credential
- PMHCNS-BC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 15, 2008
- Last updated
- Sep 19, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 364SP0809X | Clinical Nurse Specialist, Psych/Mental Health, Adult | 69765 | NC | Yes |
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | 069765 | NC |
Practice location
1008 Bowler DrDurham, NC 27703-6311
Phone 919-687-4013 · Fax 919-680-4010
Mailing address
1008 Bowler DrDurham, NC 27703-6311
Phone 919-687-4013 · Fax 919-680-4010
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