| Doctor Name: | RICARDO JOSE PEREA |
| NPI Number: | 1083058770 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ANP |
| License Number: | 5006159 |
| Business Practice Address: | 26 Westcare Dr Suite 302 Sylva, NC - 287795290 |
| Business Phone Number: | 8285869200 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1332, FRANKLIN |
| State: | NC |
| Postal Code: | 287441332 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/24/2013 |
| NPI Last Update Date: | 04/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | 5006159 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |