Doctor Name: | AIJA KATARINA PERTEE |
NPI Number: | 1184096380 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 5008097 |
Business Practice Address: | 209 Hospital Drive Suite 303 Highlands, NC - 287417616 |
Business Phone Number: | 8285264942 |
Business Fax Number: | 8285269218 |
Mailing Address: | Po Box 602373, CHARLOTTE |
State: | NC |
Postal Code: | 282602373 |
Phone Number: | 8285261280 |
Fax Number: | 8285261285 |
NPI Enumeration Date: | 10/27/2015 |
NPI Last Update Date: | 03/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 5008097 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |