Individual
NICOTERA BRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4905 DANA DR APT W, RALEIGH, NC 27606-2374
(267) 888-7653
Mailing address
4905 DANA DR APT W, RALEIGH, NC 27606-2374
(267) 888-7653
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
333692
NC
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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