Individual
PATRICIA WAGONER CLAPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, ANP-C
Contact information
Practice address
906 N ANTHONY ST, BURLINGTON, NC 27217-6663
(336) 228-2433
(336) 335-1770
Mailing address
P.O. BOX 691, BURLINGTON, NC 27216-0691
(336) 228-2433
(336) 335-1770
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
041213
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
920011
NURSE PRACTITIONER APPROVAL
NC
Enumeration date
02/18/2013
Last updated
02/18/2013
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