| Nicholas Damico | |
|
1140 Kildaire Farm Rd Ste 307 Cary NC 27511-7600 | |
| (984) 299-3377 | |
| (801) 630-9324 |
| Full Name | Nicholas Damico |
|---|---|
| Speciality | Clinic/Center |
| Location | 1140 Kildaire Farm Rd Ste 307, Cary, North Carolina |
| Authorized Official Name and Position | Nicholas Louis D'amico (OWNER) |
| Authorized Official Contact | 9198007274 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Damico 1140 Kildaire Farm Rd Ste 307 Cary NC 27511-7600 | Nicholas Damico 1140 Kildaire Farm Rd Ste 307 Cary NC 27511-7600 Ph: (984) 299-3377 |
| NPI Number | 1114871373 |
|---|---|
| Provider Enumeration Date | 02/24/2026 |
| Last Update Date | 07/23/2026 |
| Certification Date | 07/23/2026 |
| Medicare PECOS PAC ID | 1557836541 |
|---|---|
| Medicare Enrollment ID | O20260407002872 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114871373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
| 363L00000X | Nurse Practitioner | (NU) | Secondary |
| Provider Name | Nicholas Louis D'amico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538949896 PECOS PAC ID: 0244683829 Enrollment ID: I20240131000339 |
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