Individual provider · Type 1 NPI
Esther Bosede Metiko, NP
Family Nurse Practitioner · Raleigh, NC
NPI number
1053400200
Active
Practice location
10 Sunnybrook Rd, Clinic A
Raleigh, NC 27610-1808
Fax (919) 250-4429
Mailing address
2525 Corley Wood Dr
Raleigh, NC 27606-4267
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 201947 (NC) |
Family Nurse Practitioner: Definition to come...
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About NPI 1053400200
Esther Bosede Metiko, NP's National Provider Identifier is 1053400200, issued on Oct 12, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Raleigh, NC. The record was last updated on Jul 8, 2007.