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Individual

DR. LISA MARIA WAYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP PMHNP-BC

Contact information

Practice address
3637 OLD VINEYARD RD, WINSTON SALEM, NC 27104-4842
(855) 234-5920
Mailing address
675 N MAIN ST STE 402, WINSTON SALEM, NC 27101-3077
(423) 416-6541

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5012221
NC

Other

Enumeration date
09/05/2019
Last updated
09/05/2019
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