Provider Demographics
NPI:1447309323
Name:NAGY, DREW P (MS)
Entity type:Individual
Prefix:MRS
First Name:DREW
Middle Name:P
Last Name:NAGY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1017 MONMOUTH AVENUE
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701
Mailing Address - Country:US
Mailing Address - Phone:919-956-8342
Mailing Address - Fax:
Practice Address - Street 1:3600 UNIVERSITY DRIVE
Practice Address - Street 2:SUITE B
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707
Practice Address - Country:US
Practice Address - Phone:919-402-1411
Practice Address - Fax:919-402-1411
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC589101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
0007408125OtherAETNA
161935OtherVALUE OPTIONS
NC1151JOtherBLUE CROSS BLUE SHIELD
1052085OtherCIGNA
258934OtherMANAGED HEALTH NETWORK