Individual
TRIQUANA SPRINGS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
NOVANT HEALTH WINSTON LAKE FAMILY MEDICINE, 901 WATERWORKS RD SUITE A, WINSTON SALEM, NC 27101
(336) 277-5090
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 277-5090
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5021936
NC
363LF0000X
Family Nurse Practitioner
5021936
NC
Other
Enumeration date
04/07/2025
Last updated
06/05/2025
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