Angela Louise Wadsworth
Nurse Practitioner - Family Medicine
514 N Brightleaf Blvd Ste 1620
Smithfield
, North Carolina 27577-4486
Angela Louise Wadsworth
Nurse Practitioner - Family Medicine
514 N Brightleaf Blvd Ste 1620
Smithfield
, North Carolina 27577-4486
(919) 938-0296
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Angela Louise Wadsworth
- 514 N Brightleaf Blvd Ste 1620
- Smithfield, NC
- Zip : 27577-4486
- Fax : (919) 938-0296
- Phone : (919) 938-7187
Second Address
- Angela Louise Wadsworth
- 514 N Brightleaf Blvd Ste 1620
- Smithfield, NC
- Zip : 27577-4486
- Fax : (919) 938-7201
- Phone : (919) 938-7187
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 5005012 | NC |
National Provider Identifier
| NPI | 1003118084 |
|---|---|
| Provider Name | Angela Louise Wadsworth |
| First Address | Smithfield, NC 27577-4486 |
| Second Address | Smithfield, NC 27577-4486 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/11/2010 |
| Last Update Date | 31/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1003118084 | (05) | NC |
| 1751V | BCBSNC (01) | NC |
| 2595135 | MEDICARE (01) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.