Provider Demographics
NPI:1326670670
Name:NARIGON, STEPHEN (PMHNP-BC)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:
Last Name:NARIGON
Suffix:
Gender:M
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6453
Mailing Address - Street 2:
Mailing Address - City:MOUNT AIRY
Mailing Address - State:NC
Mailing Address - Zip Code:27030-6453
Mailing Address - Country:US
Mailing Address - Phone:762-213-7912
Mailing Address - Fax:
Practice Address - Street 1:4846 ARARAT HWY
Practice Address - Street 2:
Practice Address - City:ARARAT
Practice Address - State:VA
Practice Address - Zip Code:24053-3983
Practice Address - Country:US
Practice Address - Phone:276-221-3791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-05
Last Update Date:2022-09-22
Deactivation Date:2022-09-01
Deactivation Code:
Reactivation Date:2022-09-16
Provider Licenses
StateLicense IDTaxonomies
NC218512363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health