Individual
CAITLIN BUMGARNER HAUPT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2011
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2261
(336) 716-9810
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5011011
NC
363LA2100X
Acute Care Nurse Practitioner
5011011
NC
Other
Enumeration date
09/24/2018
Last updated
03/17/2022
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