MRS. AMY PRIESTAF


Address: 3024 New Bern Ave, Ste 300, Raleigh, NC 27610-1247
Phone: 9193508114

MRS. AMY PRIESTAF (NPI# 1093903718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093903718
Entity Type Individual
Full Name MRS. AMY PRIESTAF
Other Name AMY SWAN
Credential PA-C
Practice Address 3024 New Bern Ave
Ste 300
Raleigh
NC 27610-1247
Mailing Address 6512 Keystone Dr
Raleigh
NC 27612-5206
Practice Telephone 9193508114
Practice Fax Number 9193507472
Mailing Telephone 9198473213
Enumeration Date 2007-10-09
Last Update Date 2007-10-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
0010-01021 NC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3024 NEW BERN AVE
STE 300
City RALEIGH
State NC
Zip Code 27610-1247

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NPI Name Taxonomy Address Enumeration
1588664924 Lynn M Rebello Pediatrics 3024 New Bern Ave, Raleigh, NC 27610 2005-07-28
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1588225759 Wakemed Specialists Group, LLC Preventive Medicine 3024 New Bern Ave, Raleigh, NC 27610-1247 2019-06-27
1821659079 Sharon Elizabeth Booth Physician Assistant 3024 New Bern Ave, Raleigh, NC 27610-1247 2019-06-27
1790343366 Wakemed Specialists Group LLC Pediatrics 3024 New Bern Ave, Raleigh, NC 27610-1247 2019-05-30
1225693419 Wakemed Specialists Group LLC Surgery 3024 New Bern Ave, Raleigh, NC 27610-1247 2019-05-03
1720643927 Wakemed Specialists Group, LLC Otolaryngology 3024 New Bern Ave, Raleigh, NC 27610-1247 2019-05-03
1649835836 Wakemed Specialists Group, LLC Internal Medicine 3024 New Bern Ave, Raleigh, NC 27610-1247 2019-05-03
1205491487 Wakemed Specialists Group LLC Urology 3024 New Bern Ave, Raleigh, NC 27610-1247 2019-05-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609499243 Elizabeth Ranganai Mavindidze Social Worker Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 2020-05-18
1851958839 Alex & Associates, P.C. Dentist 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 2019-05-24
1639646367 Carol Mary Medins Dietitian, Registered Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 2018-10-31
1144714601 Walgreen Co Durable Medical Equipment & Medical Supplies 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 2018-06-19
1417446006 Eagles Eye Lab, Inc Clinical Medical Laboratory 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 2018-05-09
1316465206 Jeffery King Neer Social Worker 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 2017-08-31
1083139885 Kelsey Daniel Mccleave Social Worker 3630 Enduring Freedom Drive, Raleigh, NC 27610 2017-08-14
1891219093 Tarheel Residential Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4840 Quarryman Road, Raleigh, NC 27610 2017-07-29
1508214826 Compassionate Care Providers LLC Respite Care 5110 Wetlands, Raleigh, NC 27610 2016-05-26
1730552530 Matthew Belair Pharmacist 1601-51 Cross Link Rd, Raleigh, NC 27610 2015-11-03
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285195768 Rebecca Lee Hill Physician Assistant 3100 Blue Ridge Rd Ste 103, Raleigh, NC 27612-8002 2019-03-27
1306300520 Lanlen Luke Venable Physician Assistant 4414 Lake Boone Trl Ste 502, Raleigh, NC 27607-7521 2019-01-23
1942723788 Elizabeth Grace Carmen Lee Macarthur Physician Assistant 10211 Alm St Ste 1200, Raleigh, NC 27617-8221 2017-07-24
1164969168 Grace Klinic, LLC Physician Assistant 6516 Falls of Neuse Rd, 110, Raleigh, NC 27615-6847 2017-01-27
1982075073 David Zuckerman Physician Assistant 1311 E Millbrook Rd Ofc, Raleigh, NC 27609-5473 2015-10-14
1649570060 Jeffrey M Rosowski Physician Assistant 3320 Executive Dr Ste 222, Raleigh, NC 27609-7445 2010-11-02
1023332020 Brooke Register Lilley Physician Assistant 6500 Creedmoor Rd., Raleigh, NC 27613 2010-03-18
1548582620 Melanie Fox Langston Physician Assistant 7870 Alexander Promenade Pl, Raleigh, NC 27617-7350 2010-02-17
1184863086 Lisa Marie Hill Physician Assistant 2709 Blue Ridge Rd Ste 320, Raleigh, NC 27607-6462 2009-02-17
1538248125 Harry David Kurtz Physician Assistant 4509 Creedmoor Rd Ste 201, Raleigh, NC 27612-3813 2006-11-03
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Competitor

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City RALEIGH
Zip Code 27610

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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