Amy Destefano in Raleigh - Emergency Medicine

Amy Destefano - NPI 1154421188

Amy Destefano is a Emergency Medicine in Raleigh, North Carolina. Amy Destefano practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Amy Destefano is 1154421188. The last update date is 2023-03-07.

Amy Destefano's current location address is 2501 Blue Ridge Rd Ste 250, Raleigh, North Carolina. You can contact this provider via phone number 9198634128. The mailing address for Amy Destefano is 2501 Blue Ridge Rd Ste 250, Raleigh, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Amy Destefano
Address 2501 Blue Ridge Rd Ste 250, Raleigh, North Carolina
Phone Number 9198634128
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1154421188
Provider Enumeration Date 2006-09-22
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 2501 Blue Ridge Rd Ste 250
City Raleigh
State North Carolina (NC)
Post Code 276076346
Phone Number 9198634128
Fax Number

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No 36096
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
891041M NC --
1041M NC BLUE SHIELD
P00184463 NC RR MEDICARE

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FAQs about Amy Destefano

What is the unique 10-digit identification code assigned to Amy Destefano by the Centers for Medicare & Medicaid Services?

The Amy Destefano has been issued the NPI (National Provider Identifier) 1154421188, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Amy Destefano?

The Amy Destefano is physically situated at 2501 Blue Ridge Rd Ste 250, in the city of Raleigh, state of NC, with the postal code 276076346.

What is Amy Destefano's specialized field of practice, and what is the corresponding taxonomy classification code?

The Amy Destefano's area of specialization is Emergency Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207P00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1154421188 to Amy Destefano?

The Centers for Medicare & Medicaid Services assigned the 1154421188 to Amy Destefano on 2006-09-22.

When was the information pertaining to Amy Destefano most recently updated or revised?

The details related to Amy Destefano, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-07.

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