Individual
COURTNEY HALDEMAN GRANADERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
3001 LYNDHURST AVE, WINSTON SALEM, NC 27103-4007
(336) 970-3244
Mailing address
1672 PARK TERRACE LN, WINSTON SALEM, NC 27127-4796
(336) 970-3244
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5014442
NC
Other
Enumeration date
05/21/2021
Last updated
11/07/2023
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