Provider Demographics
NPI:1518292358
Name:ATWA, NADIA (PHD)
Entity Type:Individual
Prefix:DR
First Name:NADIA
Middle Name:
Last Name:ATWA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 LONEBROOK DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-1136
Mailing Address - Country:US
Mailing Address - Phone:919-656-8155
Mailing Address - Fax:919-929-5508
Practice Address - Street 1:4408 NEW BERN AVE
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-1444
Practice Address - Country:US
Practice Address - Phone:919-231-6419
Practice Address - Fax:919-231-7568
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-13
Last Update Date:2009-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC130601835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist