NPI Code Details Logo

NPI 1124646088

NPI 1124646088 : MEREDITH PAIGE DUNZWEILER AGNP-C : KERNERSVILLE, NC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1124646088
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    MEREDITH PAIGE DUNZWEILER AGNP-C
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/08/2020
-----------------------------------------------------
    Last Update Date     |    07/08/2020
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    510 PINEVIEW DR 
-----------------------------------------------------
    City                 |    KERNERSVILLE
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    27284-3663
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    336-996-8410
-----------------------------------------------------
    Fax                  |    336-996-8405
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    360 SUNSET AVE 
-----------------------------------------------------
    City                 |    ASHEBORO
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    27203-5612
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    336-625-8410
-----------------------------------------------------
    Fax                  |    336-625-8405
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LF0000X
-----------------------------------------------------
    Taxonomy Name        |    Family Nurse Practitioner
-----------------------------------------------------
    License Number       |    5013280
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    363LG0600X
-----------------------------------------------------
    Taxonomy Name        |    Gerontology Nurse Practitioner
-----------------------------------------------------
    License Number       |    5013280
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    363LP2300X
-----------------------------------------------------
    Taxonomy Name        |    Primary Care Nurse Practitioner
-----------------------------------------------------
    License Number       |    5013280
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    363LA2200X
-----------------------------------------------------
    Taxonomy Name        |    Adult Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    5013280
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.