MEDICARE: ANWESHA PAUTSCH FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	283386	NC

General Provider Information

NPI Number	:	1689489577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANWESHA PAUTSCH FNP-C

Provider Business Mailing Address
First Line	:	804 HOLLY THORN TRCE
Second Line	:
City	:	HOLLY SPRINGS
State	:	NC
Zip	:	27540-7585
Country	:	US
Telephone Number	:	919-961-0724
Fax Number	:

Provider Business Practice Location Address
First Line	:	5720 CREEDMOOR RD STE 200
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27612-2382
Country	:	US
Telephone Number	:	919-277-0345
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2025
Last Update Date	:	12/11/2025

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