Organization
WAKE NEPHROLOGY ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMIE KENDRA FRICKE (PRACTICE MANAGER)
(919) 876-7807
Entity
Organization
Contact information
Practice address
3604 BUSH ST, RALEIGH, NC 27609-7511
(919) 876-7807
(919) 876-8823
Mailing address
3604 BUSH ST, RALEIGH, NC 27609-7511
(919) 876-7807
(919) 876-8823
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
200100423
NC
174400000X
Specialist
200200682
NC
174400000X
Specialist
23533
NC
174400000X
Specialist
23576
NC
174400000X
Specialist
31375
NC
174400000X
Specialist
34410
NC
174400000X
Specialist
9500252
NC
174400000X
Specialist
Primary
9800209
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6973447
—
NC
05
—
7902997
—
NC
05
—
8947988
—
NC
Enumeration date
06/01/2005
Last updated
03/23/2011
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