WANDA PATRICK NPI 1730785957

NPI Information

  • NPI: 1730785957
  • Provider Name: WANDA PATRICK
  • Classification: Registered Nurse - 163WA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 2577 W 5TH ST
    GREENVILLE, NC
    ZIP 27834
  • Phone: (252) 707-5205

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NPI Details

Wanda Patrick is an addiction (substance use disorder) registered nurse in Greenville, NC. Wanda Patrick NPI is 1730785957. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2577 W 5TH ST
GREENVILLE, NC
ZIP 27834-813
Phone: (252) 707-5205
Fax: (252) 707-5267

The enumeration date for this NPI number is 12/11/2020 and was last updated on 12/11/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TA0400XPsychologistAddiction (Substance Use Disorder)221639NORTH CAROLINANo
2163WA0400XRegistered NurseAddiction (Substance Use Disorder)221639NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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