Mrs Patty Susan Vandergrift, RN, NNP-BC | |
3333 Silas Creek Pkwy, Winston-salem, NC 27103 | |
(336) 718-3160 | |
Not Available |
Full Name | Mrs Patty Susan Vandergrift |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 3333 Silas Creek Pkwy, Winston-salem, 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 |
---|---|---|---|
1497955470 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LN0005X | Nurse Practitioner - Neonatal, Critical Care | 120277 (North Carolina) | Secondary |
363L00000X | Nurse Practitioner | 5000507 (North Carolina) | Primary |
Entity Name | Novant Health Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
Entity Name | Dlp Central Carolina Physician Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396101689 PECOS PAC ID: 6709180656 Enrollment ID: O20160212001472 |
Entity Name | Dlp Frye Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154005965 PECOS PAC ID: 8123397601 Enrollment ID: O20170627003051 |
Mailing Address | Practice Location Address |
---|---|
Mrs Patty Susan Vandergrift, RN, NNP-BC 1188 Mcknight Drive, King, NC 27021 Ph: (336) 983-7338 | Mrs Patty Susan Vandergrift, RN, NNP-BC 3333 Silas Creek Pkwy, Winston-salem, NC 27103 Ph: (336) 718-3160 |
Emmanuel Olushola Uloko Sr., PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3333 Silas Creek Parkway, Forsyth Medical Center, Winston-salem, NC 27103 Phone: 336-718-5000 Fax: 336-718-9847 | |
Stephanie A. Zannis, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1900 S Hawthorne Rd, Suite 480-a (forsyth Pediatrics - Medical Pk), Winston-salem, NC 27103 Phone: 336-277-1600 Fax: 336-277-1610 | |
Mr. Michael Christopher Ragan, M.ED., MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4692 Brownsboro Rd, Winston-salem, NC 27106 Phone: 336-251-1114 Fax: 336-251-1117 | |
Mrs. Martha Arietti, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3073 Trenwest Dr, Winston-salem, NC 27103 Phone: 336-768-0437 Fax: 336-768-0433 | |
Jennifer Lynn Keiger, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 Charlois Blvd, Winston-salem, NC 27103 Phone: 336-718-1000 | |
Boonpon Thongteum, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 186 Kimel Park Dr, Winston-salem, NC 27103 Phone: 336-277-2000 Fax: 336-277-2050 | |
Mrs. Kristie Miller Lewis, RNC, NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston-salem, NC 27157 Phone: 336-713-6509 Fax: 336-713-6434 |