Healthcare Provider Details

I. General information

NPI: 1952276362
Provider Name (Legal Business Name): RAGINI GORANTLA APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2025
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 APEX PEAKWAY STE 200
APEX NC
27502-5112
US

IV. Provider business mailing address

1525 APEX PEAKWAY STE 200
APEX NC
27502-5112
US

V. Phone/Fax

Practice location:
  • Phone: 919-363-9363
  • Fax:
Mailing address:
  • Phone: 919-363-9363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5024091
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberGAA-NP003874
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: