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NPI Code Detail

MEDICARE: MS. ELEANOR L CARTLEDGE NURSE PRACTITIONER

MEDICARE: MS. ELEANOR L CARTLEDGE NURSE PRACTITIONER
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
1208000000XPediatrics Physician201367NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942412242
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELEANOR L CARTLEDGE NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 1001 CRESCENT GREEN
Second Line :
City : CARY
State : NC
Zip : 27518
Country : US
Telephone Number : 919-467-3211
Fax Number : 919-235-3094
Provider Business Practice Location Address
First Line : 316 JUDD PLACE DR
Second Line :
City : FUQUAY VARINA
State : NC
Zip : 27526-2386
Country : US
Telephone Number : 919-557-2362
Fax Number : 919-235-3094
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2007
Last Update Date : 01/25/2012

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