Provider Demographics
NPI:1265248041
Name:PATEL, NIDHI DEVENDRABHAI (AGACNP)
Entity type:Individual
Prefix:
First Name:NIDHI
Middle Name:DEVENDRABHAI
Last Name:PATEL
Suffix:
Gender:F
Credentials:AGACNP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1870 TEACHERS HOUSE RD NW
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-9812
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3975 ROBINSON RD
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NC
Practice Address - Zip Code:28658-9715
Practice Address - Country:US
Practice Address - Phone:828-466-0466
Practice Address - Fax:828-466-8862
Is Sole Proprietor?:No
Enumeration Date:2024-12-06
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC5021335363L00000X
NC2023204837363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner