Individual
AVERY CARRIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5085 WYNGATE VILLAGE DR, WINSTON SALEM, NC 27103-5253
(423) 612-3570
Mailing address
5085 WYNGATE VILLAGE DR, WINSTON SALEM, NC 27103-5253
(423) 612-3570
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
291916
NC
Other
Enumeration date
06/14/2019
Last updated
06/28/2022
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