Provider Demographics
NPI:1306878061
Name:ALBRECHT, RAMONA PETEU (PA-C)
Entity type:Individual
Prefix:
First Name:RAMONA
Middle Name:PETEU
Last Name:ALBRECHT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:RAMONA
Other - Middle Name:
Other - Last Name:PETEU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:811 US HIGHWAY 70 W
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-2541
Mailing Address - Country:US
Mailing Address - Phone:919-779-5010
Mailing Address - Fax:
Practice Address - Street 1:811 US HIGHWAY 70 W
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-2541
Practice Address - Country:US
Practice Address - Phone:919-779-5010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC001000121363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCPENDINGOtherTRICARE PROVIDER NUMBER
NCPENDINGMedicare ID - Type UnspecifiedPROVIDER NUMBER