Healthcare Provider Details

I. General information

NPI: 1295227817
Provider Name (Legal Business Name): ADRIAN GEORGE IONESCU AGNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2018
Last Update Date: 08/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1565 ORCHARD VILLAS AVE
APEX NC
27502
US

IV. Provider business mailing address

1565 ORCHARD VILLAS AVE
APEX NC
27502-4321
US

V. Phone/Fax

Practice location:
  • Phone: 919-367-9355
  • Fax: 919-367-9276
Mailing address:
  • Phone: 919-367-9355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number256250
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: