Provider Demographics
NPI:1649672940
Name:SOLANKI, NINA
Entity type:Individual
Prefix:
First Name:NINA
Middle Name:
Last Name:SOLANKI
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 1:5842 FAYETTEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-6293
Mailing Address - Country:US
Mailing Address - Phone:919-572-0000
Mailing Address - Fax:919-572-9999
Practice Address - Street 1:5842 FAYETTEVILLE RD
Practice Address - Street 2:106
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-6293
Practice Address - Country:US
Practice Address - Phone:919-572-0000
Practice Address - Fax:919-572-9999
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-18
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC103089103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical