Noelle Gaither, NP | |
3416 Poole Rd Ste 120, Raleigh, NC 27610-2918 | |
(984) 920-0356 | |
Not Available |
Full Name | Noelle Gaither |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3416 Poole Rd Ste 120, Raleigh, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073399366 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 28249511A (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 5019491 (North Carolina) | Primary |
Entity Name | Osh-mi Physicians Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033766092 PECOS PAC ID: 7810282191 Enrollment ID: O20191118000511 |
Mailing Address | Practice Location Address |
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Noelle Gaither, NP Po Box 746724, Atlanta, GA 30374-6724 Ph: (312) 733-9730 | Noelle Gaither, NP 3416 Poole Rd Ste 120, Raleigh, NC 27610-2918 Ph: (984) 920-0356 |
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