Michelle Waddell, RN | |
246 W Swannanoa Ave, Liberty, NC 27298-3214 | |
(336) 795-7016 | |
Not Available |
Full Name | Michelle Waddell |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 246 W Swannanoa Ave, Liberty, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790486967 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 5018324 (North Carolina) | Primary |
163WE0003X | Registered Nurse - Emergency | 196010 (North Carolina) | Secondary |
Entity Name | Mainstreet And Kidsstreet Of North Carolina Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144803040 PECOS PAC ID: 6901290238 Enrollment ID: O20220302000414 |
Mailing Address | Practice Location Address |
---|---|
Michelle Waddell, RN 364 White Oak St, Asheboro, NC 27203-5434 Ph: (336) 625-5151 | Michelle Waddell, RN 246 W Swannanoa Ave, Liberty, NC 27298-3214 Ph: (336) 795-7016 |
Ashley Brooke Crutchfield, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 525 W Swannanoa Ave, Liberty, NC 27298 Phone: 336-622-4850 Fax: 336-622-4855 | |
Caroline E Baugess, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 504 N Greensboro St, Liberty, NC 27298 Phone: 336-622-4850 Fax: 336-622-4855 | |
Cheryl Jean Wells, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 129 S Fayetteville St, Liberty, NC 27298 Phone: 336-301-8899 | |
Breana Frantz, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 246 W Swannanoa Ave, Liberty, NC 27298 Phone: 336-795-7016 | |
Lynn Elizabeth Lam, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 504 N Greensboro St, Liberty, NC 27298 Phone: 336-622-4850 Fax: 336-622-4855 |