Individual
AUDREY ROSE HARPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3024 NEW BERN AVE, RALEIGH, NC 27610-1247
(919) 350-7331
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-14046
NC
363AS0400X
Surgical Physician Assistant
Primary
0010-14046
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881200202
—
NC
Enumeration date
09/21/2020
Last updated
04/18/2024
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