Mr. Edward Roy Vanderbilt

MSN, APRN, FNP-C | Nurse Practitioner | 4+ years Exp

Accepts Medicare Nurse Practitioner in Winston Salem, North Carolina.
Mr. Edward Roy Vanderbilt is a Winston Salem, North Carolina based nurse practitioner with 4 years of experience in . He completed his graduation in 2020. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Edward Roy Vanderbilt is 5013618 for Family in North Carolina. His current practice location is 3734 Reynolda Rd, Winston Salem. Patients can reach him at 336-922-1102 or can fax him at 336-922-5012. Mr. Edward Roy Vanderbilt is MSN, APRN, FNP-C and his NPI number (Unique professional ID assigned by NPPES) is 1417553942.
Mr. Edward Roy Vanderbilt has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.

Complete Profile:
Mr. Edward Roy Vanderbilt speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Mr. Edward Roy Vanderbilt
Specialization: Nurse Practitioner (NP)
Gender:Male
Credentials: MSN, APRN, FNP-C
Experience: 4+ years
Medical School Attended:Other
Graduation Year:2020
Accepts Medicare Assignment:Yes
Practice Address:3734 Reynolda Rd, Winston Salem,
North Carolina, 27106-2240
Phone:336-922-1102
Fax:336-922-5012
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 8729495502
Enrollment ID: I20210323000222
NPI Number: 1417553942
NPI Enumeration Date: 09 Dec, 2020
NPI Last Update On: 11 Nov, 2022

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Edward Roy Vanderbilt are as mentioned below.
License NumberSpecializationStateStatus
5013618Family North CarolinaPrimary
5013618Nurse Practitioner North CarolinaSecondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Mr. Edward Roy Vanderbilt is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Quick Doc Partners Llc (7315353596)2
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Edward Roy Vanderbilt such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
1417553942MedicaidNorth Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Mr. Edward Roy Vanderbilt
120 Ivorhing Ct,
Kernersville, North Carolina
Zip: 27284-6335
Phone Number: 336-595-8910
Patients can reach Mr. Edward Roy Vanderbilt at 3734 Reynolda Rd, Winston Salem, North Carolina or can call to book an appointment on 336-922-1102.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.