Individual
ANNIS OLIVIA FOWLER STULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
942 JOHNSON RIDGE RD, ELKIN, NC 28621-2212
(336) 526-3500
(336) 438-2427
Mailing address
942 JOHNSON RIDGE RD, ELKIN, NC 28621-2212
(336) 526-3500
(336) 438-2427
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
314583
NC
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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