Individual
WANDA ELLIOTT RUSHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1400 WESTGATE CENTER DRIVE, SUITE 130, WINSTON SALEM, NC 27103-3104
(336) 718-7500
(336) 659-8704
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-9672
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200868
NC
363LF0000X
Family Nurse Practitioner
200868
NC
Other
Enumeration date
07/25/2006
Last updated
10/28/2020
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