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

Wake Nephrology Associates, PA

Organization Specialist · NPI 1891797049

Wake Nephrology Associates, PA provides Specialist services 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 Not confirmed with CMS for 15 years — call before visiting
Phone: (919) 876-7807
Fax: (919) 876-8823
Show map & directions

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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