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Mr. Edward Roy Vanderbilt, MSN,APRN,FNP-C
Family Nurse Practitioner in Winston Salem, North Carolina
NPI 1417553942

Edward Roy Vanderbilt is a Family Nurse Practitioner based in Kernersville, NC and is specialized in Family. Edward Roy Vanderbilt practices in Winston Salem, NC and has the professional credentials of MSN,APRN,FNP-C. The NPI Number for Edward Roy Vanderbilt is 1417553942 and holds a License No. 5013618 (North Carolina).

The current practice location address for Edward Roy Vanderbilt is 3734 Reynolda Rd, Winston Salem, NC and can be reached out via phone at 336-922-1102 and via fax at 336-922-5012.

Location: 3734 Reynolda Rd, Winston Salem, NC, 27284-6335
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417553942
Provider Name
Edward Roy Vanderbilt
Credential
MSN,APRN,FNP-C
Provider Entity Type
Individual
Gender
Male
Address
3734 Reynolda Rd, Winston Salem, NC, 27284-6335
Phone Number
336-922-1102
Fax Number
336-922-5012
Provider Enumeration Date
12/09/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1417553942 05 NC
institution
Provider Business Practice Location Address Details
Address
3734 Reynolda Rd
City
Winston Salem
State
North Carolina
Zip
27106-2240
Phone Number
336-922-1102
Fax Number
336-922-5012
person
Provider Business Mailing Address Details
Address
3734 Reynolda Rd
City
Winston Salem
State
North Carolina
Zip
27106-2240
Phone Number
336-922-1102
Fax Number
336-922-5012
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
5013618 (North Carolina)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
5013618 (North Carolina)
Definition
Definition to come...
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