Provider Demographics
NPI:1750338984
Name:MCALISTER, AMY E (FNP)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:E
Last Name:MCALISTER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5400 TRINITY RD
Mailing Address - Street 2:STE 105
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-6001
Mailing Address - Country:US
Mailing Address - Phone:919-851-2174
Mailing Address - Fax:919-854-7774
Practice Address - Street 1:111 ADVENT CT
Practice Address - Street 2:STE 100
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-7072
Practice Address - Country:US
Practice Address - Phone:919-859-5650
Practice Address - Fax:919-859-5695
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q31871Medicare UPIN
NC2592264Medicare ID - Type Unspecified