Individual provider · Type 1 NPI

Micaela Rose Nannery, MD

Vascular & Interventional Radiology Physician · Charlotte, NC

NPI number 1790314656 Active

Practice location

700 E Morehead St Ste 300
Charlotte, NC 28202-2742

Specialties and licenses

TaxonomyCodeLicense
Vascular & Interventional Radiology Physician Primary 2085R0204X2024-01189 (NC)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Internal Medicine Physician 207R00000X284024 (MA)

Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

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About NPI 1790314656

Micaela Rose Nannery, MD's National Provider Identifier is 1790314656, issued on Apr 3, 2020. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Charlotte, NC. The record was last updated on Aug 24, 2026.