Doctor Name: | VIBHABEN DHOLAKIA |
NPI Number: | 1013345032 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | AGPCNP-BC |
License Number: | 2013008050 |
Business Practice Address: | 1001 Pemberton Hill Rd Apex, NC - 275024265 |
Business Phone Number: | 9193621836 |
Business Fax Number: | |
Mailing Address: | 1001 Pemberton Hill Rd, APEX |
State: | NC |
Postal Code: | 275024265 |
Phone Number: | 9193621836 |
Fax Number: | |
NPI Enumeration Date: | 10/30/2013 |
NPI Last Update Date: | 10/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 2013008050 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |