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6840 GLENWOOD AVE RALEIGH NC 276127133
ELENA OTEL is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1275715021. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 7012098965. The primary specialty is NURSE PRACTITIONER. The organization is MINUTECLINIC DIAGNOSTIC OF NORTH CAROLINA PC. The address is 6840 GLENWOOD AVE, , RALEIGH, NC, 276127133. The zip code is 276127133.
|Nation Provider ID||1275715021|
|PAC ID by PECOS||7012098965|
|Professional Enrollment ID||I20080116000631|
|Medical School Name||OTHER|
|Primary Specialty||NURSE PRACTITIONER|
|All secondary specialties|
|Organization Name||MINUTECLINIC DIAGNOSTIC OF NORTH CAROLINA PC|
|Group Practice PAC ID||6002837572|
|Number of Group Practice members||127|
|Address||6840 GLENWOOD AVE, , RALEIGH, NC, 276127133|
|Hospital affiliation LBN|