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NPI Code Detail

MEDICARE: BETH C ALCALA NP

MEDICARE:   BETH C ALCALA  NP
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
1363LA2200XAdult Health Nurse Practitioner900143NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
175261OTHERNCSTATE NURSING LICENSE
212244898OTHERCAQH

General Provider Information

NPI Number : 1699838466
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETH C ALCALA NP
Provider Business Mailing Address
First Line : 3001 EDWARDS MILL RD
Second Line : STE 203
City : RALEIGH
State : NC
Zip : 27612-5243
Country : US
Telephone Number : 919-787-7246
Fax Number : 919-787-7247
Provider Business Practice Location Address
First Line : 7780 BRIER CREEK PKWY STE 200
Second Line :
City : RALEIGH
State : NC
Zip : 27617-7869
Country : US
Telephone Number : 919-596-3400
Fax Number : 919-596-3499
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2006
Last Update Date : 03/07/2023

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