Individual
MRS. MACKENZIE DAY WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2001 TODAYS WOMAN AVE, WINSTON SALEM, NC 27105-5069
(336) 722-1818
(336) 722-1826
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 722-1818
(336) 722-1826
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
182417
NC
363L00000X
Nurse Practitioner
Primary
940090
NC
363LW0102X
Women's Health Nurse Practitioner
940090
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7005855
—
NC
Enumeration date
07/19/2005
Last updated
11/27/2023
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