Individual provider · Type 1 NPI

Nicole Marie Longoria, P.A.

Physician Assistant · Raleigh, NC

NPI number 1497994529 Active

Practice location

10207 Cerny St, Suite 312
Raleigh, NC 27617-4879

Call (919) 670-0302 Map

Mailing address

4355 Lyman Ave
Raleigh, NC 27616-8460

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1084959 (KY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1497994529

Nicole Marie Longoria, P.A.'s National Provider Identifier is 1497994529, issued on Feb 12, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Raleigh, NC. The record was last updated on Jan 5, 2017.