Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 2016-00599 | NC |
N | 208600000X | Surgeon | 2016-00599 | NC |
Y | 2086S0129X | Vascular Surgeon | 2016-00599 | NC |
NPI | 1053636894 |
---|---|
Provider Name | Dr. Liliana Nanez |
First Address | Raleigh, NC 27607-7521 |
Second Address | Raleigh, NC 27607-7521 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2010 |
Last Update Date | 09/11/2021 |