Individual
NAOMI GUSKY WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,NNP,PNP
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157
(336) 716-2011
Mailing address
2307 BUENA VISTA RD, WINSTON SALEM, NC 27104-2125
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
104083
NC
Other
Enumeration date
10/27/2006
Last updated
10/03/2007
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