Provider Demographics
NPI:1376775163
Name:PINTO, ALICIA RENEE (ANP-BC)
Entity Type:Individual
Prefix:MRS
First Name:ALICIA
Middle Name:RENEE
Last Name:PINTO
Suffix:
Gender:F
Credentials:ANP-BC
Other - Prefix:MS
Other - First Name:ALICIA
Other - Middle Name:RENEE
Other - Last Name:TANNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:101 MANNING DRIVE
Mailing Address - Street 2:NC CANCER HOSPITAL
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-9999
Mailing Address - Country:US
Mailing Address - Phone:919-843-0600
Mailing Address - Fax:919-966-8413
Practice Address - Street 1:101 MANNING DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-4220
Practice Address - Country:US
Practice Address - Phone:919-843-0600
Practice Address - Fax:919-966-8413
Is Sole Proprietor?:No
Enumeration Date:2009-08-13
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5004393207RH0003X, 363LA2200X
NC230635207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology