Individual
ALYTHIA MONIQUE CARLSON ALCORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3333 SILAS CREEK PKWY, NICU, WINSTON SALEM, NC 27103-3013
(336) 718-3150
Mailing address
2000 FRONTIS PLAZA BLVD, SUITE 102, WINSTON SALEM, NC 27103-5616
(336) 277-2437
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5003940
NC
363LN0005X
Critical Care Neonatal Nurse Practitioner
5003940
NC
Other
Enumeration date
03/20/2008
Last updated
04/19/2022
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