MEDICARE: FRANCES COSGROVE REDA 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
1	363LA2200X	Adult Health Nurse Practitioner	5007872	NC

General Provider Information

NPI Number	:	1164898870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCES COSGROVE REDA NP-C

Provider Business Mailing Address
First Line	:	5601 ARRINGDON PARK DR
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-5676
Country	:	US
Telephone Number	:	919-308-2945
Fax Number	:	919-385-9528

Provider Business Practice Location Address
First Line	:	5601 ARRINGDON PARK DR
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-5676
Country	:	US
Telephone Number	:	919-308-2945
Fax Number	:	919-385-9528

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2015
Last Update Date	:	08/11/2022

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