Individual
BRITTANY KNICELY STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
280 N POINTE BLVD, MOUNT AIRY, NC 27030
(336) 786-4133
(336) 783-3417
Mailing address
PO BOX 1267, MOUNT AIRY, NC 27030-1267
(336) 786-4522
(336) 786-3752
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5012026
NC
Other
Enumeration date
06/20/2019
Last updated
08/19/2019
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