Individual
KATIE L BLOODWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
121 PROCTOR LN, LEXINGTON, NC 27292-7630
(336) 280-5205
Mailing address
306 POMONA DR STE F, GREENSBORO, NC 27407-1643
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5014697
NC
Other
Enumeration date
07/01/2021
Last updated
08/24/2022
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