Peralta, Nicole R

Peralta, Nicole R is an individual health care provider with primary practice located at 1236 Huffman Mill Rd Suite 2000, Burlington NC 27215-8700. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Peralta, Nicole R can be contacted via phone (336) 585-1770.

Contact Information

Primary practice address
1236 Huffman Mill Rd Suite 2000 Burlington NC 27215-8700
Phone: (336) 585-1770
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X NA-10544 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 227618 North Carolina

Profile Details

NPI number 1457590044
LBN Legal business name Peralta, Nicole R
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2009
Last updated Mar 4th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457590044 NPPES
North Carolina Other 145590044 TRICARE
North Carolina MEDICAID 1457590044 TRICARE

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