Gura, Georgette Fernanda

Gura, Georgette Fernanda is an individual health care provider with primary practice located at 5904 Six Forks Rd Ste 111, Raleigh NC 27609-8228. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Gura, Georgette Fernanda can be contacted via phone (919) 787-9555.

Contact Information

Primary practice address
5904 Six Forks Rd Ste 111 Raleigh NC 27609-8228
Phone: (919) 787-9555
Fax: (919) 510-5111
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 300235 North Carolina

Profile Details

NPI number 1417129305
LBN Legal business name Gura, Georgette Fernanda
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2008
Last updated Mar 28th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417129305 NPPES
North Carolina MEDICAID 7003676

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