Individual
DR. PATRICIA MICHELLE CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1705 TARBORO ST SW, WILSON, NC 27893-3428
(919) 736-1110
Mailing address
102 LIVIUS CT, GOLDSBORO, NC 27534-7683
(919) 429-0255
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
110746
NC
363LA2100X
Acute Care Nurse Practitioner
Primary
900223
NC
363LA2200X
Adult Health Nurse Practitioner
900223
NC
363LG0600X
Gerontology Nurse Practitioner
900223
NC
Other
Enumeration date
06/13/2006
Last updated
05/08/2025
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