Wake Nephrology Associates, P.A.

LBN: Wake Nephrology Associates, P.A.
Wake Nephrology Associates, P.A. is an health care organization with primary practice located at 3604 Bush St , Raleigh NC 27609-7511. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Wake Nephrology Associates, P.A. can be contacted via phone (919) 876-7807, or through Fricke, Jamie Kendra via phone (919) 876-7807.

Contact Information

Primary practice address
3604 Bush St Raleigh NC 27609-7511
Phone: (919) 876-7807
Fax: (919) 876-8823
Website:
Map and Directions
Authorized official contact:
Name: Fricke, Jamie Kendra
Phone: (919) 876-7807

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 23576 North Carolina
Other Service Providers / Specialist 174400000X 31375 North Carolina
Other Service Providers / Specialist 174400000X 23533 North Carolina
Other Service Providers / Specialist 174400000X 34410 North Carolina
Other Service Providers / Specialist 174400000X 9500252 North Carolina
Other Service Providers / Specialist 174400000X 200100423 North Carolina
Other Service Providers / Specialist 174400000X 9800209 North Carolina
Other Service Providers / Specialist 174400000X 200200682 North Carolina

Profile Details

NPI number 1891797049
LBN Legal business name Wake Nephrology Associates, P.A.
DBA Doing business as
Authorized official Fricke, Jamie Kendra
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2005
Last updated Mar 23rd, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891797049 NPPES
North Carolina MEDICAID 6973447
North Carolina MEDICAID 7902997
North Carolina MEDICAID 8947988

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