Provider Demographics
NPI:1891031803
Name:PATEL, AVANEE (FNP-BC)
Entity Type:Individual
Prefix:
First Name:AVANEE
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 STONE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28146-6301
Mailing Address - Country:US
Mailing Address - Phone:919-491-3564
Mailing Address - Fax:
Practice Address - Street 1:2797 NC HIGHWAY 55
Practice Address - Street 2:MINUTECLINIC DIAGNOSTIC OF NORTH CAROLINA, P.C.
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519
Practice Address - Country:US
Practice Address - Phone:866-389-2727
Practice Address - Fax:401-652-9787
Is Sole Proprietor?:No
Enumeration Date:2012-12-19
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2011011167363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily