Healthcare Provider Details

I. General information

NPI: 1194540641
Provider Name (Legal Business Name): ALEXANDRA EMILY D'ELIA FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2024
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4709 CREEKSTONE DR STE 300
DURHAM NC
27703-0016
US

IV. Provider business mailing address

4709 CREEKSTONE DR STE 300
DURHAM NC
27703-0016
US

V. Phone/Fax

Practice location:
  • Phone: 919-668-4000
  • Fax:
Mailing address:
  • Phone:
  • Fax: 919-576-8806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number252353
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number5021265
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: