Wadsworth, Angela Louise

Wadsworth, Angela Louise is an individual health care provider with primary practice located at 514 N Brightleaf Blvd Ste 1620 , Smithfield NC 27577-4486. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wadsworth, Angela Louise can be contacted via phone (919) 938-7187.

Contact Information

Primary practice address
514 N Brightleaf Blvd Ste 1620 Smithfield NC 27577-4486
Fax: (919) 938-7201
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5005012 North Carolina

Profile Details

NPI number 1003118084
LBN Legal business name Wadsworth, Angela Louise
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2010
Last updated Mar 31st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003118084 NPPES
North Carolina MEDICAID 1003118084
North Carolina Other 1751V
North Carolina Other 2595135

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