Individual
SHARLENE MALIA KONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2216 MAPLEWOOD AVE, WINSTON SALEM, NC 27103-3625
(434) 249-5875
Mailing address
2216 MAPLEWOOD AVE, WINSTON SALEM, NC 27103-3625
(434) 249-5875
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024164665
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010315981
—
VA
Enumeration date
09/01/2006
Last updated
07/26/2021
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