Healthcare Provider Details

I. General information

NPI: 1467880625
Provider Name (Legal Business Name): AFTON MARIE CARDUCCI PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2013
Last Update Date: 02/14/2023
Certification Date: 02/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4207 LAKE BOONE TRL STE 210
RALEIGH NC
27607
US

IV. Provider business mailing address

4207 LAKE BOONE TRL STE 210
RALEIGH NC
27607-6685
US

V. Phone/Fax

Practice location:
  • Phone: 919-784-7874
  • Fax: 919-784-2708
Mailing address:
  • Phone: 919-784-7874
  • Fax: 919-784-2708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-04493
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: