Provider Demographics
NPI:1699838466
Name:ALCALA, BETH C (NP)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:C
Last Name:ALCALA
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:3001 EDWARDS MILL RD
Mailing Address - Street 2:STE 203
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-5243
Mailing Address - Country:US
Mailing Address - Phone:919-787-7246
Mailing Address - Fax:919-787-7247
Practice Address - Street 1:7780 BRIER CREEK PKWY STE 200
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-7869
Practice Address - Country:US
Practice Address - Phone:919-596-3400
Practice Address - Fax:919-596-3499
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
NC900143363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC75261OtherSTATE NURSING LICENSE
12244898OtherCAQH
12244898OtherCAQH
12244898OtherCAQH
NC2599334AMedicare PIN