MEDICARE: DR. DHRUVI PATEL DNP,FNP-BC, PMHNP-BC

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
1	363LF0000X	Family Nurse Practitioner	5016106	NC
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	5016106	NC

General Provider Information

NPI Number	:	1750025276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DHRUVI PATEL DNP,FNP-BC, PMHNP-BC

Provider Business Mailing Address
First Line	:	5518 NC HIGHWAY 55
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27713-4473
Country	:	US
Telephone Number	:	919-870-8409
Fax Number	:

Provider Business Practice Location Address
First Line	:	5518 NC HIGHWAY 55
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27713-4473
Country	:	US
Telephone Number	:	919-870-8409
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2022
Last Update Date	:	03/02/2026

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