Healthcare Provider Details

I. General information

NPI: 1710257415
Provider Name (Legal Business Name): RELIABLE HEALTH SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2012
Last Update Date: 09/21/2020
Certification Date: 09/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2634 DURHAM CHAPEL HILL BLVD STE 204
DURHAM NC
27707-2877
US

IV. Provider business mailing address

2634 DURHAM CHAPEL HILL BLVD STE 204
DURHAM NC
27707-2877
US

V. Phone/Fax

Practice location:
  • Phone: 919-596-9479
  • Fax: 919-957-0099
Mailing address:
  • Phone: 919-596-9479
  • Fax: 919-957-0099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number201294
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number201294
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number201294
License Number StateNC
# 4
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number201294
License Number StateNC

VIII. Authorized Official

Name: MS. VALERIE BENEDICTA IDADA-PARKER
Title or Position: PRESIDENT
Credential: MSN, PMHNP-BC, FNP,
Phone: 919-308-2339