Individual
DEMISSIE H SOLOMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
910 W HARRISON ST, REIDSVILLE, NC 27320-3324
(336) 342-9564
(336) 349-9723
Mailing address
910 W HARRISON ST, REIDSVILLE, NC 27320-3324
(336) 342-9564
(336) 349-9723
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
APRN002862
NV
363LG0600X
Gerontology Nurse Practitioner
APRN002862
NV
363LP2300X
Primary Care Nurse Practitioner
Primary
5013570
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548765167
—
NV
01
—
APRN002862
STATE LICENSE
NV
01
—
CNP5013570
STATE LICENSE
NC
Enumeration date
03/26/2018
Last updated
06/23/2022
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