Individual
KATHERINE MARYANN WASOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
500 SHEPHERD ST, WINSTON SALEM, NC 27103-1633
(336) 716-4039
Mailing address
500 SHEPHERD ST, WINSTON SALEM, NC 27103-1633
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5021385
NC
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
5021385
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/09/2023
Last updated
03/03/2025
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