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NPI Code Detail

MEDICARE: MRS. PADONDA BOYD WEBB FNP-C

MEDICARE:  MRS. PADONDA BOYD WEBB  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
1363LF0000XFamily Nurse Practitioner5003251NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861692493
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PADONDA BOYD WEBB FNP-C
Provider Business Mailing Address
First Line : 3803 ROBERT PORCHER WAY
Second Line :
City : GREENSBORO
State : NC
Zip : 27410-2191
Country : US
Telephone Number : 336-286-3442
Fax Number : 336-286-1156
Provider Business Practice Location Address
First Line : 3803 ROBERT PORCHER WAY
Second Line :
City : GREENSBORO
State : NC
Zip : 27410-2191
Country : US
Telephone Number : 336-286-3442
Fax Number : 336-286-1156
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2007
Last Update Date : 04/13/2026

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