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WANDA PATRICK
NPI 1730785957
Registered Nurse - Addiction (Substance Use Disorder) in Greenville, NC

Active since December 11, 2020
2577 W 5TH ST, GREENVILLE, NC 27834(252) 707-5205(252) 707-5267 Get Directions Write a Review

NPPES record last updated: December 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wanda Patrick NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WANDA PATRICK (NPI 1730785957) is an individual addiction (substance use disorder) provider in Greenville, North Carolina, licensed in North Carolina (221639) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1730785957
Entity TypeIndividualFemale
Primary Taxonomy163WA0400X
Provider Legal NameWANDA PATRICK
Location Address2577 W 5TH STGreenville, NC 27834-7813
Mailing Address2577 W 5th StGreenville, NC 27834-7813 · (252) 707-5205 · Fax (252) 707-5267
Phone(252) 707-5205
Fax(252) 707-5267
Sole ProprietorYes
Enumeration DateDecember 11, 2020
NPPES CertifiedDecember 11, 2020
✔ NPI 1730785957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Addiction (Substance Use Disorder)Nursing Service Providers
Taxonomy Code163WA0400X
License✔ Licensed in NC · 221639
Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License 221639 (NC)
2577 W 5TH ST, Greenville, NC 27834
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL P HOWARD MSW, LCAS, CCS
Counselor (Addiction (Substance Use Disorder))
2577 W 5TH ST
GREENVILLE, NC 27834
Pitt County (252) 707-5044
MATEUSZ BROSZKO M.D.
Psychiatry & Neurology (Psychiatry)
2577 W 5TH ST
GREENVILLE, NC 27834
Pitt County (252) 830-3426
WALTER B JONES CENTER LAKESIDE PSYCHIATRIC HOSPITAL
Psychiatric Hospital
2577 W 5TH ST
GREENVILLE, NC 27834
Pitt County (252) 707-5091
WALTER B JONES CENTER WOODSIDE TREATMENT CENTER
Community/Behavioral Health
2577 W 5TH ST
GREENVILLE, NC 27834
Pitt County (252) 707-5208
JENNIFER COPE MSW. LCSW
Social Worker (Clinical)
2577 W 5TH ST
GREENVILLE, NC 27834
Pitt County (252) 619-2184
CHARLES RAY FAULKNER RN
Registered Nurse
2577 W 5TH ST
GREENVILLE, NC 27834
Pitt County (252) 707-5213
WALTER B JONES ALCOHOL AND DRUG ABUSE TREATMENT CENTER
Psychiatric Hospital
2577 W 5TH ST
GREENVILLE, NC 27834
Pitt County (252) 830-3426
MR. MICHAEL GORDON TART LCSW
Social Worker (Clinical)
2577 W 5TH ST
GREENVILLE, NC 27834
Pitt County (252) 707-5075

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wanda Patrick's NPI number?

The NPI number for Wanda Patrick is 1730785957. It was assigned to this individual provider in the NPPES registry on December 11, 2020.

Where is Wanda Patrick located?

Wanda Patrick practices at 2577 W 5th St, Greenville, NC 27834. The listed phone number is (252) 707-5205.

What is Wanda Patrick's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Addiction (Substance Use Disorder), with taxonomy code 163WA0400X.

When was this NPI record last updated?

The NPPES record for Wanda Patrick was last updated on December 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.