Western Wake Wellness | |
401 Keisler Dr Suite 101 Cary NC 27518-7084 | |
(919) 378-1492 | |
Not Available |
Full Name | Western Wake Wellness |
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Speciality | Family Medicine |
Location | 401 Keisler Dr, Cary, North Carolina |
Authorized Official Name and Position | Darlene Nagel (PRACTICE MANAGER) |
Authorized Official Contact | 9193781492 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Western Wake Wellness 401 Keisler Dr Suite 101 Cary NC 27518-7084 Ph: (919) 378-1492 | Western Wake Wellness 401 Keisler Dr Suite 101 Cary NC 27518-7084 Ph: (919) 378-1492 |
NPI Number | 1598149502 |
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Provider Enumeration Date | 07/20/2015 |
Last Update Date | 01/27/2020 |
Medicare PECOS PAC ID | 5799093035 |
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Medicare Enrollment ID | O20151006001405 |
Identifier | Type | State | Issuer |
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1598149502 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (North Carolina) | Primary |
Provider Name | Cynthia Cerise Young |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811910870 PECOS PAC ID: 5294767877 Enrollment ID: I20050902000602 |
Provider Name | Mary Margaret Rockers Tyni |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295409035 PECOS PAC ID: 7911303177 Enrollment ID: I20211122000798 |
Provider Name | Zachary M Wiercinski |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649996620 PECOS PAC ID: 3577933001 Enrollment ID: I20221228000598 |
Provider Name | Arbaz Ahmad |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861171670 PECOS PAC ID: 8820443906 Enrollment ID: I20231010000549 |
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