Basic Information
Provider Information
NPI: 1750975181
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ADRIGNOLA
FirstName: ERIC
MiddleName: JOSEPH
NamePrefix: MR.
NameSuffix:  
Credential: PMHNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1869
Address2:  
City: FLETCHER
State: NC
PostalCode: 287321869
CountryCode: US
TelephoneNumber: 8286875616
FaxNumber: 8286508076
Practice Location
Address1: 50 HOSPITAL DR STE 5A
Address2:  
City: HENDERSONVILLE
State: NC
PostalCode: 287925247
CountryCode: US
TelephoneNumber: 8286841115
FaxNumber: 8286876064
Other Information
ProviderEnumerationDate: 02/25/2021
LastUpdateDate: 07/13/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/13/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0808X5014138NCY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


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