Individual
MRS. SALLY ANNE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2011
Mailing address
7511 MCGEE RD, RURAL HALL, NC 27045-9695
(336) 529-3632
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
232278
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
6250
NC
Other
Enumeration date
08/22/2019
Last updated
03/16/2021
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