| North Raleigh Integrated Primary Care Llp | |
|
4040 Barrett Dr Raleigh NC 27609-6640 | |
| (919) 689-1010 | |
| Not Available |
| Full Name | North Raleigh Integrated Primary Care Llp |
|---|---|
| Speciality | Clinic/Center |
| Location | 4040 Barrett Dr, Raleigh, North Carolina |
| Authorized Official Name and Position | Treshell Herndon (MANAGER) |
| Authorized Official Contact | 9196691982 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Raleigh Integrated Primary Care Llp 4040 Barrett Dr Raleigh NC 27609-6640 Ph: (919) 689-1010 | North Raleigh Integrated Primary Care Llp 4040 Barrett Dr Raleigh NC 27609-6640 Ph: (919) 689-1010 |
| NPI Number | 1447844162 |
|---|---|
| Provider Enumeration Date | 02/23/2021 |
| Last Update Date | 01/17/2024 |
| Medicare PECOS PAC ID | 7113310467 |
|---|---|
| Medicare Enrollment ID | O20220209000193 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447844162 | NPI | - | NPPES |
| 7804626 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Walda Stacia Pinn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700026127 PECOS PAC ID: 3577880376 Enrollment ID: I20150316000526 |
| Provider Name | Alexandra Grey Solomon-romshe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881224384 PECOS PAC ID: 6800225384 Enrollment ID: I20200403002199 |
| Provider Name | Anjeleigh Lonnette Partridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811489644 PECOS PAC ID: 9032502380 Enrollment ID: I20220209000164 |
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