Provider Demographics
NPI:1083603096
Name:SETTLE, KATHY SANDERS (FNP)
Entity Type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:SANDERS
Last Name:SETTLE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 BIRCH ST
Mailing Address - Street 2:STE B
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-3297
Mailing Address - Country:US
Mailing Address - Phone:910-875-1032
Mailing Address - Fax:
Practice Address - Street 1:300 BIRCH ST
Practice Address - Street 2:STE B
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-3297
Practice Address - Country:US
Practice Address - Phone:910-904-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-21
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC800069363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCNP1076Medicaid
NC7003808Medicaid
NC2594626AMedicare PIN
SCNP1076Medicaid
S42322Medicare UPIN