Provider Demographics
NPI:1962616268
Name:CERRA, MICHELE M (FNP)
Entity type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:M
Last Name:CERRA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1604 BRACKNELL CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603-8205
Mailing Address - Country:US
Mailing Address - Phone:919-328-0737
Mailing Address - Fax:919-684-8358
Practice Address - Street 1:DUMC 2918
Practice Address - Street 2:09 BAKER HOUSE
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-0001
Practice Address - Country:US
Practice Address - Phone:919-681-5151
Practice Address - Fax:919-684-8358
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF332743-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily