Doctor Name: | MATTHEW PARKER PADGETT |
NPI Number: | 1063664274 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FMHNP-BC |
License Number: | NC#5004111 |
Business Practice Address: | 2460 Curtis Ellis Dr Rocky Mount, NC - 278042237 |
Business Phone Number: | 2529628000 |
Business Fax Number: | |
Mailing Address: | 712 Eagles Ter, ROCKY MOUNT |
State: | NC |
Postal Code: | 278046404 |
Phone Number: | 9105483861 |
Fax Number: | |
NPI Enumeration Date: | 10/21/2008 |
NPI Last Update Date: | 09/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | NC#5004111 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |