Healthcare Provider Details

I. General information

NPI: 1861664443
Provider Name (Legal Business Name): NANCY ALBRECHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2008
Last Update Date: 03/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 MARTIN LUTHER KING JR BLVD STE. 202
CHAPEL HILL NC
27514-2656
US

IV. Provider business mailing address

5405 FARLEY DR
RALEIGH NC
27609-4413
US

V. Phone/Fax

Practice location:
  • Phone: 919-933-3301
  • Fax: 919-933-3375
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number145542
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: