| Innerlogic, Llc | |
|
1001 Navaho Dr Ste Gl150 Raleigh NC 27609-7318 | |
| (919) 322-9246 | |
| Not Available |
| Full Name | Innerlogic, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1001 Navaho Dr Ste Gl150, Raleigh, North Carolina |
| Authorized Official Name and Position | Donna Anderson (OWNER) |
| Authorized Official Contact | 9193229246 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innerlogic, Llc 1001 Navaho Dr Ste Gl150 Raleigh NC 27609-7318 Ph: (919) 322-9246 | Innerlogic, Llc 1001 Navaho Dr Ste Gl150 Raleigh NC 27609-7318 Ph: (919) 322-9246 |
| NPI Number | 1821538877 |
|---|---|
| Provider Enumeration Date | 02/23/2017 |
| Last Update Date | 11/14/2024 |
| Certification Date | 11/14/2024 |
| Medicare PECOS PAC ID | 5799041729 |
|---|---|
| Medicare Enrollment ID | O20171108001334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821538877 | NPI | - | NPPES |
| Provider Name | Donna N Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619353612 PECOS PAC ID: 0042593956 Enrollment ID: I20170220000001 |
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