Individual
RENATA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 E GREEN DR, HIGH POINT, NC 27260-6707
(336) 641-7571
Mailing address
3460 THORNABY DR, WINSTON SALEM, NC 27107-2666
(336) 528-5140
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
88944
NC
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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