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NPI Code Detail

MEDICARE: ANGELA MARIE REDDING FNP-C

MEDICARE: ANGELA MARIE REDDING FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WN0002XNeonatal Intensive Care Registered NurseRN240807GA
2363L00000XNurse Practitioner5010746NC
3363LF0000XFamily Nurse Practitioner1076110TX
4363LF0000XFamily Nurse PractitionerF05170441GA

General Provider Information

NPI Number : 1518495472
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA MARIE REDDING FNP-C
Provider Business Mailing Address
First Line : 3007 TOWN CENTER DR
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28306-3662
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 850 CENTRAL PKWY E STE 275
Second Line :
City : PLANO
State : TX
Zip : 75074-5542
Country : US
Telephone Number : 972-881-4688
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2017
Last Update Date : 04/22/2026

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