Individual
FOLASHADE RUTH PASEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
621 S MAIN ST STE 100, REIDSVILLE, NC 27320-5034
(336) 951-6460
Mailing address
798 AVALON SPRINGS CT, HIGH POINT, NC 27265-2914
(336) 457-3280
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
288927
NC
363LF0000X
Family Nurse Practitioner
Primary
5016575
NC
363LF0000X
Family Nurse Practitioner
F06221897
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
288927
NORTH CAROLINA BOARD OF NURSING
NC
01
—
F06221897
AMERICAN ACADEMY OF NURSE PRACTITIONERS
NC
Enumeration date
05/23/2022
Last updated
10/04/2022
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