Provider Demographics
NPI:1548837651
Name:RAJU, PRINCY (NP)
Entity type:Individual
Prefix:MRS
First Name:PRINCY
Middle Name:
Last Name:RAJU
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:PRINCY
Other - Middle Name:
Other - Last Name:ABRAHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:718 WINDY PEAK LOOP
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-1886
Mailing Address - Country:US
Mailing Address - Phone:919-599-4722
Mailing Address - Fax:
Practice Address - Street 1:718 WINDY PEAK LOOP
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-1886
Practice Address - Country:US
Practice Address - Phone:919-439-3715
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-07
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC208102163W00000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse