Provider Demographics
NPI:1558311027
Name:PADGETT, ROSLYN CAROL (MSN, MPH, FNP)
Entity Type:Individual
Prefix:MS
First Name:ROSLYN
Middle Name:CAROL
Last Name:PADGETT
Suffix:
Gender:F
Credentials:MSN, MPH, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
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Mailing Address - Street 1:16 STRAWBERRY RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-9446
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:SAS CAMPUS DRIVE
Practice Address - Street 2:SAS INSTITUTE HEALTH CARE CENTER
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513
Practice Address - Country:US
Practice Address - Phone:919-531-1778
Practice Address - Fax:919-654-3800
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC079918363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC80023FMedicare UPIN