MEDICARE: ANDREA GASPARD

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	363LF0000X	Family Nurse Practitioner	111793	AK

General Provider Information

NPI Number	:	1255784468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA GASPARD

Provider Business Mailing Address
First Line	:	100 DUKE HEALTH CARY PL
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27519-6759
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 DUKE HEALTH CARY PL
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27519-6759
Country	:	US
Telephone Number	:	919-620-5300
Fax Number	:

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

Provider Enumeration Date	:	07/22/2016
Last Update Date	:	09/17/2025

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