=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902325418
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NAOMI CHRISTINE ASKEW FNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/15/2017
-----------------------------------------------------
Last Update Date | 08/17/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3400 WAKE FOREST DRIVE, BLDG 9 BLDG #9, 4TH FLOOR
-----------------------------------------------------
City | RALEIGH
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27609
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-954-3000
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 110 BURHAM CT
-----------------------------------------------------
City | APEX
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27502-4259
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-924-3606
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 5009881
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------