Provider Demographics
NPI:1316283567
Name:LINKE, ANDREAS (PA-C)
Entity type:Individual
Prefix:
First Name:ANDREAS
Middle Name:
Last Name:LINKE
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:112 BOTTLE NECK TRL
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-8528
Mailing Address - Country:US
Mailing Address - Phone:919-889-0274
Mailing Address - Fax:
Practice Address - Street 1:5156 NC HIGHWAY 42 W
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-8417
Practice Address - Country:US
Practice Address - Phone:919-329-5000
Practice Address - Fax:919-329-5300
Is Sole Proprietor?:No
Enumeration Date:2012-12-17
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC001003979363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant