Individual
MRS. JULIE RENEE KERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
WAKE FOREST BAPTIST MEDICAL CENTER 1, WINSTON SALEM, NC 27157-0001
(336) 713-4500
Mailing address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-4500
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
5010246
NC
363LP0200X
Pediatric Nurse Practitioner
Primary
5010246
NC
Other
Enumeration date
02/21/2018
Last updated
03/17/2018
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