Provider Demographics
NPI:1861664443
Name:ALBRECHT, NANCY
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:ALBRECHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5405 FARLEY DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-4413
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:930 MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:STE. 202
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2656
Practice Address - Country:US
Practice Address - Phone:919-933-3301
Practice Address - Fax:919-933-3375
Is Sole Proprietor?:No
Enumeration Date:2008-03-24
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC145542163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC015PNOtherBLUE CROSS GROUP NUMBER
NC208391OtherWELLPATH GROUP NUMBER
208391OtherMEDCOST GROUP NUMBER
NC7000091Medicaid
002419079001OtherUNITED HEALTHCARE GROUP