Healthcare Provider Details

I. General information

NPI: 1538960216
Provider Name (Legal Business Name): BABITA KHERA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2025
Last Update Date: 03/20/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2147 NC HWY 56 EAST
CREEDMOOR NC
27522
US

IV. Provider business mailing address

23 SADDLEWOOD CT
DURHAM NC
27713-9346
US

V. Phone/Fax

Practice location:
  • Phone: 984-538-4416
  • Fax:
Mailing address:
  • Phone: 910-670-8011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5021839
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: