Healthcare Provider Details

I. General information

NPI: 1548066467
Provider Name (Legal Business Name): MELISA GASPAR DE ALBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2025
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

876 TIMBER DR
GARNER NC
27529-4850
US

IV. Provider business mailing address

4705 UNIVERSITY DR BLDG 700
DURHAM NC
27707-3489
US

V. Phone/Fax

Practice location:
  • Phone: 919-803-2285
  • Fax: 919-803-2318
Mailing address:
  • Phone: 919-237-1337
  • Fax: 866-538-4716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5023841
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: