Provider Demographics
NPI:1548724289
Name:PADGETT, LAURA SUSAN (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:SUSAN
Last Name:PADGETT
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:695 W FLEMING DR
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-4450
Mailing Address - Country:US
Mailing Address - Phone:828-580-3278
Mailing Address - Fax:828-580-3279
Practice Address - Street 1:730 MALCOLM BLVD STE 150
Practice Address - Street 2:
Practice Address - City:CONNELLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:28612-8079
Practice Address - Country:US
Practice Address - Phone:828-874-4600
Practice Address - Fax:828-874-8900
Is Sole Proprietor?:No
Enumeration Date:2019-01-28
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5011452363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCF01191473OtherOTHER INSURANCES
NCF01191473Medicaid