Provider Demographics
NPI:1851812614
Name:CAREFIRST URGENT CARE PC
Entity Type:Organization
Organization Name:CAREFIRST URGENT CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HARITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:NADENDLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-342-5383
Mailing Address - Street 1:609 ATTAIN ST STE 141
Mailing Address - Street 2:
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-1979
Mailing Address - Country:US
Mailing Address - Phone:919-342-5383
Mailing Address - Fax:919-342-0434
Practice Address - Street 1:609 ATTAIN ST STE 141
Practice Address - Street 2:
Practice Address - City:FUQUAY VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526-1979
Practice Address - Country:US
Practice Address - Phone:919-342-5383
Practice Address - Fax:919-342-0434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2008-01841207V00000X, 261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty