Individual
MRS. ANGELA T DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
312 JONESTOWN RD, WINSTON SALEM, NC 27104-4621
(336) 716-7576
(336) 702-9342
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(367) 130-9473
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
600091
NC
363LA2200X
Adult Health Nurse Practitioner
33822
NC
Other
Enumeration date
05/19/2008
Last updated
06/26/2024
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