Healthcare Provider Details

I. General information

NPI: 1730558826
Provider Name (Legal Business Name): BARBARA KREITZER AGNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2015
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 PARKWAY OFFICE CT STE 200
CARY NC
27518-0002
US

IV. Provider business mailing address

150 PARKWAY OFFICE CT STE 200
CARY NC
27518-0002
US

V. Phone/Fax

Practice location:
  • Phone: 919-784-3105
  • Fax:
Mailing address:
  • Phone: 919-784-3105
  • Fax: 919-784-3134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number5007840
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: