Independent site. Not affiliated with, endorsed by, or connected to DoD, DHA, or the official TRICARE program. Visit the official TRICARE site.

Nurse Practitioner, Pediatrics

ELISABETH RECORD

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1639841117 · enumerated 2021-10-02 · record updated 2022-12-29. Source: CMS NPPES. A listing is not a TRICARE network approval.

Addresses and phones

Specialties

  • Registered Nurse, Pediatrics 163WP0200X · License 286430 NC
  • Nurse Practitioner, Pediatrics 363LP0200X · Primary · License BRUB-N0AFD NC

In this directory

Locations and evidence

  • Practice location RALEIGH, NC, 276076475
    Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

  • No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.