Provider Demographics
NPI:1124717350
Name:PECORARO, NICOLE CATHERINE (MD)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:CATHERINE
Last Name:PECORARO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:CATHERINE
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:CB 7160
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7160
Mailing Address - Country:US
Mailing Address - Phone:984-974-3881
Mailing Address - Fax:
Practice Address - Street 1:77 VILCOM CENTER DR STE 300
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-1875
Practice Address - Country:US
Practice Address - Phone:984-974-5217
Practice Address - Fax:984-974-3778
Is Sole Proprietor?:No
Enumeration Date:2023-05-03
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCWHIT-Q972CW390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program