Provider Demographics
NPI:1306472543
Name:HADDEN, TWANA
Entity type:Individual
Prefix:
First Name:TWANA
Middle Name:
Last Name:HADDEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 EDGEBROOK DR.
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27863-1308
Mailing Address - Country:US
Mailing Address - Phone:702-285-7935
Mailing Address - Fax:
Practice Address - Street 1:2803 MEDICAL CAMPUS DR
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27531-1308
Practice Address - Country:US
Practice Address - Phone:702-722-1821
Practice Address - Fax:919-722-8981
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-19
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR069706163W00000X
UT13030695-4405363LF0000X, 363LW0102X
AR221700363LF0000X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health