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Individual

DAWANNA SHEREE HANEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2525 BLUEBIRD LN, WINSTON SALEM, NC 27106-2299
(336) 575-7558
Mailing address
2525 BLUEBIRD LN, WINSTON SALEM, NC 27106-2299

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
312343
NC
363LF0000X
Family Nurse Practitioner
2023084891
NC
363LF0000X
Family Nurse Practitioner
5019912
NC
363LP2300X
Primary Care Nurse Practitioner
Primary
2023084891
NC
363LP2300X
Primary Care Nurse Practitioner
Primary
5019912
NC

Other

Enumeration date
02/21/2024
Last updated
04/28/2026
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