NPI | 1710257415 |
---|---|
Entity Type | Organization |
Authorized Contact | VALERIE BENEDICTA IDADA-PARKER President 919-308-2339 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 201294) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 201294) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 201294) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: NC 201294) | |
Enumeration Date | 2012-01-11 |
Last Update Date | 2020-09-21 |