Provider Demographics
NPI:1932783966
Name:D'SOLA, NICOLENA COLLETTE (NP-C)
Entity Type:Individual
Prefix:
First Name:NICOLENA
Middle Name:COLLETTE
Last Name:D'SOLA
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:NICOLENA
Other - Middle Name:COLLETTE
Other - Last Name:DEWITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:106 JAMIE CT APT A9
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-4835
Mailing Address - Country:US
Mailing Address - Phone:571-521-9751
Mailing Address - Fax:
Practice Address - Street 1:2301 ERWIN RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-4699
Practice Address - Country:US
Practice Address - Phone:919-684-8111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-06
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5014391363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health