Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 5005639 | NC |
NPI | 1093076044 |
---|---|
Provider Name | Rachael Elizabeth Pleczkowski |
First Address | Raleigh, NC 27607-7505 |
Second Address | Raleigh, NC 27607-7505 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2012 |
Last Update Date | 30/03/2021 |