| 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 |