Individual
COURTNEY SIMMONS MARKWALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1010 BETHESDA CT, WINSTON SALEM, NC 27103-3019
(336) 277-8800
(336) 277-8850
Mailing address
PO BOX 75216, CHARLOTTE, NC 28275-0216
(336) 718-7080
(336) 718-9622
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5004004
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
5004004
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7005692
—
NC
Enumeration date
06/11/2008
Last updated
07/30/2024
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