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NPI Code Detail

MEDICARE: ALICIA RHEEL

MEDICARE:   ALICIA  RHEEL
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
1164W00000XLicensed Practical Nurse61822NC
2164W00000XLicensed Practical Nurse65366NC

General Provider Information

NPI Number : 1871999540
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA RHEEL
Provider Business Mailing Address
First Line : 6339 CAROLINA BEACH RD
Second Line :
City : WILMINGTON
State : NC
Zip : 28412-2907
Country : US
Telephone Number : 910-795-4860
Fax Number :
Provider Business Practice Location Address
First Line : 6339 CAROLINA BEACH RD
Second Line :
City : WILMINGTON
State : NC
Zip : 28412-2907
Country : US
Telephone Number : 910-795-4860
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2014
Last Update Date : 11/07/2014

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Directions to “ ALICIA RHEEL ” Practice Location

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