Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bluhaven Health PA

Organization Otolaryngology Physician · NPI 1083456446

Bluhaven Health PA is an Otolaryngology Physician in Raleigh, North Carolina. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4109 Wake Forest Rd Ste 220
Raleigh, NC 27609-2510
Phone: (984) 370-2350
Fax: (984) 370-2352
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Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Otolaryngology Physician Taxonomy 207Y00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1083456446
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charlie Frye — Director · (984) 370-2350
Other names Bluhaven Health; Bluhaven Health
NPI enumeratedJune 7, 2024
Last updated in NPPESOctober 29, 2024
Certification dateOctober 29, 2024
Mailing address4109 Wake Forest Rd, Raleigh, NC 27609-2510

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