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Caitlin Azzarello Dakermandji, DO
Student in an Organized Health Care Education/Training Program in Winston Salem, North Carolina
NPI 1295129377

Caitlin Azzarello Dakermandji is a Student in an Organized Health Care Education/Training Program based in Winston Salem, NC. Caitlin Azzarello Dakermandji practices in Winston Salem, NC and has the professional credentials of DO. The NPI Number for Caitlin Azzarello Dakermandji is 1295129377 and holds a License No. 2278 (North Carolina).

The current practice location address for Caitlin Azzarello Dakermandji is One Medical Center Blvd, Winston Salem, NC and can be reached out via phone at 336-716-4625.

Location: One Medical Center Blvd, Winston Salem, NC, 27157-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295129377
Provider Name
Caitlin Azzarello Dakermandji
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
One Medical Center Blvd, Winston Salem, NC, 27157-0001
Phone Number
336-716-4625
Fax Number
Provider Enumeration Date
03/26/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NPI # 01 SC TRICARE (AFFILIATION ONLY)
NPI # 01 SC BLUE CROSS
NPI # 01 SC BLUE CHOICE, COMMERCIAL & MEDICAID
2138PA 05 SC
003160448A 05 GA
1068956 01 SC WELLCARE
institution
Provider Business Practice Location Address Details
Address
One Medical Center Blvd
City
Winston Salem
State
North Carolina
Zip
27157-5708
Phone Number
336-716-4625
Fax Number
person
Provider Business Mailing Address Details
Address
One Medical Center Blvd
City
Winston Salem
State
North Carolina
Zip
27157-5708
Phone Number
336-716-4625
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
(North Carolina)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
2278 (South Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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