Individual
KIERSTIN BAUCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE NURSE ANESTHE, 525 VINE ST, WINSTON-SALEM, NC 27101
(336) 716-1411
Mailing address
WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE NURSE ANESTHE, 525 VINE ST, WINSTON-SALEM, NC 27101
(336) 716-1411
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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