Regetta Penelope Graves-Dandridg in Fayetteville - Licensed Practical Nurse
Regetta Penelope Graves-Dandridg - NPI 1346461068
Regetta Penelope Graves-Dandridg is a Licensed Practical Nurse in Fayetteville, North Carolina. Regetta Penelope Graves-Dandridg practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Regetta Penelope Graves-Dandridg is 1346461068. The last update date is 2007-07-08.
Regetta Penelope Graves-Dandridg's current location address is 3423 Melrose Rd # A, Fayetteville, North Carolina. You can contact this provider via phone number 9108648739. The mailing address for Regetta Penelope Graves-Dandridg is 3423 Melrose Rd # A, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Regetta Penelope Graves-Dandridg |
|---|---|
| Address | 3423 Melrose Rd # A, Fayetteville, North Carolina |
| Phone Number | 9108648739 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1346461068 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3423 Melrose Rd # A |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283041608 |
| Phone Number | 9108648739 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 59655 |
|
Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Regetta Penelope Graves-Dandridg by the Centers for Medicare & Medicaid Services?
The Regetta Penelope Graves-Dandridg has been issued the NPI (National Provider Identifier) 1346461068, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Regetta Penelope Graves-Dandridg is physically located?
The Regetta Penelope Graves-Dandridg is situated at the following address: 3423 Melrose Rd # A, Fayetteville, NC 283041608.
What is Regetta Penelope Graves-Dandridg's specialized field of practice, and what is the corresponding taxonomy classification code?
The Regetta Penelope Graves-Dandridg's area of specialization is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this field of practice is 164W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1346461068 to Regetta Penelope Graves-Dandridg?
The Regetta Penelope Graves-Dandridg received its 1346461068 assignment from the Centers for Medicare & Medicaid Services on 2007-05-01.
When was the Regetta Penelope Graves-Dandridg's information last updated?
The Regetta Penelope Graves-Dandridg's information was last updated on 2007-07-08.
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