MISS NICOLE EMILIA RENFROE


Address: 11200 Governor Manly Way, Raleigh, NC 27614-8599
Phone: 9195629410

MISS NICOLE EMILIA RENFROE (NPI# 1215483540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215483540
Entity Type Individual
Full Name MISS NICOLE EMILIA RENFROE
Credential ATC
Practice Address 11200 Governor Manly Way
Raleigh
NC 27614-8599
Mailing Address 5210 Crosswood Way
Apt 205
Raleigh
NC 27616-9790
Practice Telephone 9195629410
Mailing Telephone 4046421670
Enumeration Date 2016-08-28
Last Update Date 2016-08-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program LAT-2929 NC Student, Health Care

Office Location

Street Address 11200 GOVERNOR MANLY WAY
City RALEIGH
State NC
Zip Code 27614-8599

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194708263 Edgar Xavier Correa Podiatrist 11200 Governor Manly Way, Suite 309, Raleigh, NC 27614-8599 2005-11-22
1437769080 Jerrell Parker Physical Therapy Assistant 11200 Governor Manly Way, Raleigh, NC 27614-8599 2020-08-07
1255997086 Kendra Rae Potter Physician Assistant 11200 Governor Manly Way, Raleigh, NC 27614-8599 2019-05-16
1942719752 Lisa Susanna Izzi Specialist/Technologist 11200 Governor Manly Way, Raleigh, NC 27614-8599 2017-09-25
1053843664 Brooke Graves Physician Assistant 11200 Governor Manly Way, Raleigh, NC 27614-8599 2017-04-02
1356881528 John Michael Ablan Prevention Professional 11200 Governor Manly Way, Raleigh, NC 27614-8599 2017-03-07
1174074769 Kelsey Leigh Mancini Specialist/Technologist 11200 Governor Manly Way, Suite 309, Raleigh, NC 27614-8599 2016-10-18
1124579008 Taylor Beavers Specialist/Technologist 11200 Governor Manly Way, Raleigh, NC 27614-8599 2016-10-17
1649725177 Chelsea Christine Sorensen Specialist/Technologist 11200 Governor Manly Way, Raleigh, NC 27614-8599 2016-08-25
1942652839 Chris Cardella Specialist/Technologist 11200 Governor Manly Way, Raleigh, NC 27614-8599 2016-07-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215419379 Patrick Orion Finn Family Medicine 10010 Falls of The Neuse Rd, Suite 11, Raleigh, NC 27614 2018-09-05
1538652557 Amn Medical Group Pllc General Practice 13200 Falls of Neuse Rd Ste 113, Raleigh, NC 27614 2018-06-13
1497201727 Kelsey Scheerer Student in an Organized Health Care Education/Training Program 11200 Governor Way, Raleigh, NC 27614 2016-08-28
1538521463 Liane Rudd Speech-Language Pathologist 4700 Norbury Place, Raleigh, NC 27614 2016-03-21
1891088068 Michelle Lynn Thompson Pharmacist 10930 Raven Ridge Road, Raleigh, NC 27614 2011-05-22
1821396185 Bettye Jo Johnson Physical Medicine & Rehabilitation 11200 Governor Manly Way, Suite 305, Orhopaedic Specialists of North Carolina, Pa, Raleigh, NC 27614 2011-03-09
1982900650 Blake Jennings Lamm Pharmacist 14460 New Falls of Neuse Rd, Suite 165, Raleigh, NC 27614 2011-01-28
1013223023 Lauren S Lawler Pharmacist 11201 Durant Road, Raleigh, NC 27614 2010-08-27
1588985378 Kashif Mazhar General Acute Care Hospital 10010 Falls of Neuse Road, Suite #12, Raleigh, NC 27614 2010-06-16
1922240100 Harris Teeter, LLC Durable Medical Equipment & Medical Supplies 14520 John Rex Blvd, Raleigh, NC 27614 2009-04-02
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376140632 Karla Flores Chavez Student in an Organized Health Care Education/Training Program 3624 Castlegate Dr, Raleigh, NC 27616-9551 2020-10-08
1144830977 Kiera Ann Quinn Student in an Organized Health Care Education/Training Program 8813 Miranda Dr, Raleigh, NC 27617-7675 2020-08-06
1932725017 Henry Matthews Kidd Jr. Student in an Organized Health Care Education/Training Program 613 Glen Eden Dr, Raleigh, NC 27612-5002 2020-06-24
1639795487 Cameron Clark Student in an Organized Health Care Education/Training Program 701 Loch Highlands Dr, Raleigh, NC 27606-8432 2020-06-17
1942822069 Matthew Daniel Mcdowell Student in an Organized Health Care Education/Training Program 3614 Silver Forrest Ln, Raleigh, NC 27614-7331 2020-05-12
1386265486 Cayla Lauren Culbreth Student in an Organized Health Care Education/Training Program 8904 Sanctus Ln, Raleigh, NC 27613-5394 2020-04-29
1306466297 Jordan Daniel Taylor Student in an Organized Health Care Education/Training Program 5529 Golden Arrow Ln, Raleigh, NC 27613-8409 2020-04-21
1326684879 Marcus Alan Bynum Student in an Organized Health Care Education/Training Program 2005 Rabbit Run, Raleigh, NC 27603-2783 2019-11-19
1306307467 Fadi Hanna Student in an Organized Health Care Education/Training Program 2304 Kendricks Ct, Raleigh, NC 27613-3678 2019-03-29
1992265565 Laura Barlow Moore Student in an Organized Health Care Education/Training Program 430 Allister Dr Unit 206, Raleigh, NC 27609-7279 2019-03-20
Find all providers in RALEIGH

Competitor

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City RALEIGH
Zip Code 27614

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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