Provider Demographics
NPI:1841347994
Name:PRESLER, CAMMIE MOORE (CPNP)
Entity type:Individual
Prefix:MS
First Name:CAMMIE
Middle Name:MOORE
Last Name:PRESLER
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:MS
Other - First Name:CAMMIE
Other - Middle Name:BARRETT
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:101 MANNING DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-4220
Mailing Address - Country:US
Mailing Address - Phone:919-966-8596
Mailing Address - Fax:919-843-6949
Practice Address - Street 1:101 MANNING DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-0001
Practice Address - Country:US
Practice Address - Phone:919-966-8596
Practice Address - Fax:919-843-6949
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC122434363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7000270Medicaid
NC2599303Medicare ID - Type Unspecified
NC7000270Medicaid