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Individual

AYAKO NITANI ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
4937 OLD COUNTRY CLUB RD, WINSTON SALEM, NC 27104-5071
(336) 718-4510
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 718-4510

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5014934
NC
363LF0000X
Family Nurse Practitioner
F07210277
NC

Other

Enumeration date
08/10/2021
Last updated
12/26/2025
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