MARIANNE GRADELESS (NPI# 1942351937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942351937 |
| Entity Type | Individual |
| Full Name | MARIANNE GRADELESS |
| Credential | G.O.N.P. |
| Practice Address |
112 Medical Dr Elizabeth City NC 27909-3361 |
| Mailing Address |
4810 S Croatan Hwy Suite 250 Nags Head NC 27959-8508 |
| Practice Telephone | 2523382151 |
| Practice Fax Number | 2523382505 |
| Mailing Telephone | 2522614885 |
| Mailing Fax Number | 2524412641 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2008-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
017944 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7949645 | 05 |
| Street Address |
112 MEDICAL DR |
| City | ELIZABETH CITY |
| State | NC |
| Zip Code | 27909-3361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992167100 | Arielle Schreck | Obstetrics & Gynecology | 112 Medical Dr, Elizabeth City, NC 27909-3361 | 2016-03-26 |
| 1467842153 | Sara Hellwege | Advanced Practice Midwife | 112 Medical Dr, Elizabeth City, NC 27909-3361 | 2015-02-02 |
| 1609162023 | Albemarle Physician Services - Sentara, Inc | Obstetrics & Gynecology | 112 Medical Dr, Elizabeth City, NC 27909-3361 | 2011-06-23 |
| 1235280538 | Sarah H. Wagoner | Physician Assistant | 112 Medical Dr, Elizabeth City, NC 27909-3361 | 2007-01-15 |
| 1457402760 | Nancy M Meehan | Midwife | 112 Medical Dr, Elizabeth City, NC 27909-3361 | 2007-01-15 |
| 1215953070 | Robert O Holt | Obstetrics & Gynecology | 112 Medical Dr, Elizabeth City, NC 27909-3361 | 2006-07-14 |
| 1649296401 | Paul Andrew Kizen | Obstetrics & Gynecology | 112 Medical Dr, Elizabeth City, NC 27909-3361 | 2006-07-14 |
| 1174582936 | Coastal Women's Clinic, Ltd. | Specialist | 112 Medical Dr, Elizabeth City, NC 27909-3361 | 2006-03-21 |
| 1538135355 | Paul R Schuellein | Obstetrics & Gynecology | 112 Medical Dr, Elizabeth City, NC 27909-3361 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482177 | Leslie Treherne-fayton Dds Pllc | Dentist | 3875 Conlon Way Ste A, Elizabeth City, NC 27909 | 2020-03-13 |
| 1053829077 | Kaitlyn Daniels | Counselor | 1825 West City Drive, Suites A&b, Elizabeth City, NC 27909 | 2018-01-11 |
| 1487183778 | Traniqua Mccullen | Social Worker | 314 Orchard Drive, Elizabeth City, NC 27909 | 2017-06-08 |
| 1760938401 | Lauren Noele Schaefer | Physical Therapist | 615 S Hughes Boulevard, Unit B, Elizabeth City, NC 27909 | 2016-09-01 |
| 1588023279 | Regina Mccoy | Nurse Practitioner | 1507 N Road St Ste 3, Elizabeth City, NC 27909 | 2016-02-23 |
| 1750753760 | Mark C. ''chris'' Patterson | Physician Assistant | Coast Guard Base Elizabeth City, 1664 Weeksville Road, Building 128, Elizabeth City, NC 27909 | 2015-10-29 |
| 1770963365 | Harlan Bradley Hurdle | Pharmacist | 104 Breezewood Drive, Elizabeth City, NC 27909 | 2015-06-09 |
| 1558779298 | Wilkiam Wilson | Counselor | 1290 Halstead Blvd, Elizabeth City, NC 27909 | 2014-07-25 |
| 1871919886 | Courtney Bunch | Specialist/Technologist | 1680 Cedar Point Circle, Elizabeth City, NC 27909 | 2014-03-14 |
| 1790100832 | The Power of U | Community/Behavioral Health | 1023 Us17s Suite 1, Elizabeth City, NC 27909 | 2014-02-26 |
| Find all providers in zip 27909 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386856649 | Victoria L Kell | Nurse Practitioner | 247 Memorial Dr, Jacksonville, NC 28546-6333 | 2007-05-07 |
| 1376610022 | Deborah Shamberger Barrett | Nurse Practitioner | 705 Pinehurst Ave, Moore County Health Department, Carthage, NC 28327-0279 | 2006-11-29 |
| 1922106426 | Wanda A Fuschino | Nurse Practitioner | 349 Penny Ln Ne, Concord, NC 28025-1221 | 2006-09-20 |
| 1699879239 | Bertha Lee Hendrix | Nurse Practitioner | 227 Fountainhead Ln, Fayetteville, NC 28301-5417 | 2006-09-12 |
| 1679508253 | Angela M Walling | Nurse Practitioner | 3 Regional Cir Ste B, Pinehurst, NC 28374-9796 | 2006-07-11 |
| 1467415752 | Paula Thum | Nurse Practitioner | 1998 Hendersonville Rd, Suite 31, Asheville, NC 28803-2349 | 2006-04-08 |
| 1932169612 | Mary Coffey Blalock | Nurse Practitioner | 177 New Vale Rd, Office of E.h. Perez, Md, Newland, NC 28657-9198 | 2006-03-25 |
| 1336144518 | Victoria Edwards Smith | Nurse Practitioner | 25 Courthouse Dr. Ne, Box 9, Bolivia, NC 28422-7582 | 2005-06-15 |
| 1790788024 | Donna White Bass | Nurse Practitioner | 4005 Oleander Dr, Wilmington, NC 28403-6816 | 2005-05-31 |
| 1003431404 | Rhonda Mann Lovvorn | Nurse Practitioner | 700 Tilghman Dr, Dunn, NC 28334-0007 | 2020-06-11 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETH CITY |
| Zip Code | 27909 |
Please comment or provide details below to improve the information on MARIANNE GRADELESS.
| 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.