Individual
AKUA ROSIA MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-2426
(336) 716-4650
(336) 716-4318
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-4650
(336) 716-4318
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5011724
NC
363LF0000X
Family Nurse Practitioner
0024177912
VA
363LF0000X
Family Nurse Practitioner
5011724
NC
Other
Enumeration date
04/08/2019
Last updated
01/10/2022
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