Individual
POONAM KUSHWAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1007 WALKER AVE, GREENSBORO, NC 27403
(336) 302-8183
Mailing address
PO BOX 601843, CHARLOTTE, NC 28260-1843
(336) 867-4310
(336) 867-4311
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5022772
NC
363LF0000X
Family Nurse Practitioner
321554
NC
Other
Enumeration date
07/01/2024
Last updated
11/20/2025
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