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Individual

CAROLYN ANITA HIGHSMITH

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
RN,MSN-ANP, APRN, BC

Contact information

Practice address
WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER, MEDICAL CENTER BLVD., WINSTON SALEM, NC 27157
(336) 713-5681
(336) 713-5677
Mailing address
3335 ANDERSON DR, WINSTON-SALEM, NC 27127-5101
(336) 788-8856

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
131961 RN; 900432 NP
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7000494
NC
05
7003642
NC
Enumeration date
06/12/2006
Last updated
07/09/2007
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