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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. NICOLE MARIE LONGORIA, P.A.

Active Sole Proprietor

MRS. NICOLE MARIE LONGORIA, P.A. is a Physician Assistant healthcare provider located in RALEIGH, North Carolina. NPI 1497994529 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · RALEIGH, NC

Registration Details

NPI Number
1497994529
Provider Type
Individual
Gender
Female
NPI Issued
Feb 12, 2009 (17.498301066432 yrs)
Last Updated
Jan 5, 2017
License
1084959 (KY)
Sole Proprietor
Yes

Practice Information

Address
10207 CERNY ST
SUITE 312
RALEIGH, NC, 276174879
Browse NC providers · Browse ZIP 27617
Phone
9196700302
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in RALEIGH, NC

Name Credential NPI
MICHAEL EDWARD WIEGERT PA-C 1104822592
ELIZABETH FULLER PA 1144228008
PAMELA BURLESON PA-C 1447258306
I-LING YU PA-C 1477551364
MRS. ELIZABETH JAYNES TURNER PA-C 1134127905
MR. DANA W JOHNSON PA-C 1659379428
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.