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NPI Code Detail

MEDICARE: ELIZABETH CAROL RASTELLI NP-C

MEDICARE: ELIZABETH CAROL RASTELLI NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner5024104NC

General Provider Information

NPI Number : 1134697725
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH CAROL RASTELLI NP-C
Provider Business Mailing Address
First Line : 1880 QUIET CV
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-3857
Country : US
Telephone Number : 910-323-2477
Fax Number : 910-323-1913
Provider Business Practice Location Address
First Line : 1880 QUIET CV
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-3857
Country : US
Telephone Number : 910-323-2477
Fax Number : 910-323-1913
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2018
Last Update Date : 06/02/2026

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