Atwater, Marcella Massenburg

Atwater, Marcella Massenburg is an sole proprietor health care provider with primary practice located at 1008 Bowler Dr , Durham NC 27703-6311. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult is her primary health care specialty. Atwater, Marcella Massenburg can be contacted via phone (919) 687-4013.

Contact Information

Primary practice address
1008 Bowler Dr Durham NC 27703-6311
Phone: (919) 687-4013
Fax: (919) 680-4010
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 069765 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X 69765 North Carolina

Profile Details

NPI number 1700038353
LBN Legal business name Atwater, Marcella Massenburg
Credentials PMHCNS-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2008
Last updated Sep 19th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700038353 NPPES
North Carolina MEDICAID 1700038353

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