Elisa P Vicario in Raleigh - Physician Assistant

Elisa P Vicario - NPI 1548421001

Elisa P Vicario is a Physician Assistant in Raleigh, North Carolina. Elisa P Vicario practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Elisa P Vicario is 1548421001. The last update date is 2008-06-18.

Elisa P Vicario's current location address is 101 Donald Ross Dr, Raleigh, North Carolina. You can contact this provider via phone number 9192503320 and fax number 9192503322. The mailing address for Elisa P Vicario is 101 Donald Ross Dr, Raleigh, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Elisa P Vicario
Address 101 Donald Ross Dr, Raleigh, North Carolina
Phone Number 9192503320
Fax Number 9192503322
Sole Proprietor N
Credentials P.A.

NPI Number Detail

NPI Number 1548421001
Provider Enumeration Date 2008-06-18
Last Updated Date 2008-06-18

Provider Mailing Address Detail

Address 101 Donald Ross Dr
City Raleigh
State North Carolina (NC)
Post Code 276101805
Phone Number 9192503320
Fax Number 9192503322

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 100882
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
LICENCE # 10088 NC NC PHYSICIAN ASSISTANT LICENCE

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FAQs about Elisa P Vicario

What is the unique 10-digit identification code assigned to Elisa P Vicario by the Centers for Medicare & Medicaid Services?

The Elisa P Vicario has been issued the NPI (National Provider Identifier) 1548421001, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Elisa P Vicario's physical address?

The Elisa P Vicario is physically located at 101 Donald Ross Dr, in the city of Raleigh, NC, with the postal code 276101805.

What is Elisa P Vicario's area of expertise and its corresponding taxonomy classification?

The Elisa P Vicario's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Elisa P Vicario receive its 1548421001 assignment from the Centers for Medicare & Medicaid Services?

The Elisa P Vicario was assigned its 1548421001 by the Centers for Medicare & Medicaid Services on 2008-06-18.

When was the information regarding Elisa P Vicario, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Elisa P Vicario, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-06-18.

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