Basic Information
Provider Information
NPI: 1902325418
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ASKEW
FirstName: NAOMI
MiddleName: CHRISTINE
NamePrefix:  
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: LITTERST
OtherFirstName: NAOMI
OtherMiddleName: CHRISTINE
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 110 BURHAM CT
Address2:  
City: APEX
State: NC
PostalCode: 275024259
CountryCode: US
TelephoneNumber: 9199243606
FaxNumber:  
Practice Location
Address1: 3400 WAKE FOREST DRIVE, BLDG 9
Address2: BLDG #9, 4TH FLOOR
City: RALEIGH
State: NC
PostalCode: 27609
CountryCode: US
TelephoneNumber: 9199543000
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/15/2017
LastUpdateDate: 08/17/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/17/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X5009881NCY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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