Healthcare Provider Details

I. General information

NPI: 1568398212
Provider Name (Legal Business Name): AFTERHOURS FAMILY CLINIC, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1776 HERITAGE CENTER DR STE 204
WAKE FOREST NC
27587-3977
US

IV. Provider business mailing address

1776 HERITAGE CENTER DR STE 204
WAKE FOREST NC
27587-3977
US

V. Phone/Fax

Practice location:
  • Phone: 919-263-0582
  • Fax:
Mailing address:
  • Phone: 919-263-0582
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ALBERT BART-PLANGE
Title or Position: FAMILY NURSE PRACTITIONER
Credential: FNP-C
Phone: 919-263-0582