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

Wake Nephrology Associates, PA

Organization Specialist · NPI 1891797049

Wake Nephrology Associates, PA is a Specialist in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2005.

Licensed in
NC
In the registry since
2005
Specialties on file
8
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

3604 Bush St
Raleigh, NC 27609-7511
Phone: (919) 876-7807
Fax: (919) 876-8823
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 9800209 (NC)
Specialist Taxonomy 174400000X · Licence 23576 (NC)
Specialist Taxonomy 174400000X · Licence 31375 (NC)
Specialist Taxonomy 174400000X · Licence 23533 (NC)
Specialist Taxonomy 174400000X · Licence 34410 (NC)
Specialist Taxonomy 174400000X · Licence 9500252 (NC)
Specialist Taxonomy 174400000X · Licence 200100423 (NC)
Specialist Taxonomy 174400000X · Licence 200200682 (NC)

Record details

NPI number1891797049
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jamie Fricke — Practice Manager · (919) 876-7807
NPI enumeratedJune 1, 2005
Last updated in NPPESMarch 23, 2011
Mailing address3604 Bush St, Raleigh, NC 27609-7511

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