Individual
DENISE MARIE GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-3520
Mailing address
3850 WHITE PETALS CT, WINSTON SALEM, NC 27107-6052
(336) 529-4120
Taxonomy
Speciality
Code
Description
License number
State
207UN0902X
Nuclear Imaging & Therapy Physician
5011629
NC
363L00000X
Nurse Practitioner
Primary
5011629
NC
363L00000X
Nurse Practitioner
5011629
NY
363LG0600X
Gerontology Nurse Practitioner
5011629
NC
Other
Enumeration date
03/28/2019
Last updated
02/06/2020
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