| NPI | 1043469273 |
|---|---|
| Former Legal Business Name | FIDELIS HEALTHCARE SERVICES, INC. |
| Entity Type | Organization |
| Authorized Contact | CINDY RITA BECKER Secretary 919-398-8413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2015-08-24 |