MARY FRANCES PETTWAY (NPI# 1841493525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841493525 |
Entity Type | Individual |
Full Name | MARY FRANCES PETTWAY |
Credential | R.N. |
Practice Address |
566 Ruin Creek Rd Henderson NC 27536-2927 |
Mailing Address |
3 Alicia Ct Durham NC 27704-5173 |
Practice Telephone | 2524366400 |
Mailing Telephone | 9197659558 |
Enumeration Date | 2007-06-08 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
108110 | NC | Nursing Service Providers |
Street Address |
566 RUIN CREEK RD |
City | HENDERSON |
State | NC |
Zip Code | 27536-2927 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841295904 | Henderson Emergency Physicians, Pllc | Emergency Medicine | 566 Ruin Creek Rd, Henderson Emergency Physicians, Henderson, NC 27536-2927 | 2005-06-16 |
1639777212 | Clarissa Stephens | Nurse Practitioner | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2020-10-15 |
1447857016 | Victoria Mccloskey | Occupational Therapist | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2020-10-06 |
1649883190 | Gloria Eun-sun Chun | Physician Assistant | 566 Ruin Creek Rd, Henderson, NC 27536-5932 | 2020-08-25 |
1386270460 | Jacob Keith Poe | Nurse Anesthetist, Certified Registered | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2020-03-20 |
1821554643 | Claudia Kostich | Specialist/Technologist | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2019-02-17 |
1407312424 | Kevin Austin Rapp | Physician Assistant | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2019-02-14 |
1265905780 | Shakiera Whyte | Nurse Practitioner | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2019-01-08 |
1174006902 | Dlp Maria Parham Physician Practices LLC | Physician Assistant | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2018-09-07 |
1083197818 | Dlp Maria Parham Physician Practices LLC | Surgery | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2018-09-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952940926 | Lane and Associates Xxxvi Dds Pa | Dentist | 900 South Garnett St., Henderson, NC 27536 | 2019-12-23 |
1487012076 | Melissa Burroughs | Registered Nurse | 943-h W. Andrews Avenue, Henderson, NC 27536 | 2016-02-10 |
1578949269 | Growth Recovery Opportunity & Wellness | Community/Behavioral Health | 804 South Garnett St, Henderson, NC 27536 | 2015-08-04 |
1003290297 | Saintpaulhealthcarept, Inc. | Home Health | 839 E Montgomery St, Henderson, NC 27536 | 2015-07-17 |
1518369859 | Kristina Thornton | Pharmacist | 200 North Cooper Road, Henderson, NC 27536 | 2014-09-18 |
1306285135 | Green Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 429 Sunnyview Road, Henderson, NC 27536 | 2013-06-14 |
1760820278 | Innovative Health Services | In Home Supportive Care | 1758 Parham Street, Henderson, NC 27536 | 2013-06-06 |
1578900015 | Frances Veronica Finamore | Counselor | 710 Parham Street, Henderson, NC 27536 | 2013-05-23 |
1952530834 | Sucessful Achievements Program Incorporated | Driver | 133 Us 1 A, Norlina, NC 27536 | 2009-07-13 |
1407096100 | Recovery Response Center | Psychiatric Hospital | 300 Parkview Drive, Henderson, NC 27536 | 2009-02-20 |
Find all providers in zip 27536 |
Taxonomy Code | 163WM0705X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Medical-Surgical |
Definition to come... |
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1013472216 | Janice Maureen Defranza | Registered Nurse | 2400 El Brio Ct, Henderson, NV 89014-3603 | 2019-02-01 |
1720533995 | Maribel San Buenaventura | Registered Nurse | 774 Tossa De Mar Ave, Henderson, NV 89002-6535 | 2016-08-17 |
1003162678 | Erin Lynn Monroe | Registered Nurse | 1305 N Elm St, Henderson, KY 42420-2783 | 2012-07-31 |
1063668564 | Robin M Glenn | Registered Nurse | 1138 N Elm St, Henderson, KY 42420-2715 | 2008-08-15 |
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1306445721 | Janelle Christine Kozeny | Registered Nurse | 1105 1/2 Arendell St, Morehead City, NC 28557-4129 | 2020-10-19 |
1518580992 | Travis Radcliff | Registered Nurse | 4115 Crestwood Cir, Winston Salem, NC 27107-3788 | 2020-05-20 |
1881216133 | Antoinette Ford | Registered Nurse | 113 Yorkshire Dr, Salisbury, NC 28144-8534 | 2020-05-09 |
1518588409 | Kristin Daniel | Registered Nurse | 865 Hunt Rd, Denton, NC 27239-8858 | 2020-05-01 |
1457909285 | Araba Awotwi | Registered Nurse | 1725 Carpenter Fletcher Rd Ste 402, Durham, NC 27713-2271 | 2019-08-26 |
1780242412 | Mikhail A Rybin | Registered Nurse | 7502 Malden Park Drive, Charlotte, NC 28215 | 2019-05-29 |
1558844340 | Alphonza Faison Jr. | Registered Nurse | 5201 W Market St Ste 108, Greensboro, NC 27409 | 2018-09-08 |
1518482710 | Raymond Tanwani Tah | Registered Nurse | 9159 Perseverance Dr, Harrisburg, NC 28075-8388 | 2017-08-08 |
1851824114 | Debra Lynn Draper | Registered Nurse | 29330 Nelson Mountain Rd, Albemarle, NC 28001-7520 | 2017-04-04 |
1700322401 | Norma Veronica Cyrus | Registered Nurse | 813 Clay Hill Dr, Knightdale, NC 27545-9283 | 2017-01-18 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.