Individual
KRISTIN SUZANNE MCNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
4692 BROWNSBORO RD, WINSTON SALEM, NC 27106-3410
(336) 251-1114
(336) 802-2071
Mailing address
4692 BROWNSBORO RD, STE. 850, WINSTON SALEM, NC 27106-3410
(336) 251-1114
(336) 802-2534
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5008244
NC
Other
Enumeration date
12/15/2015
Last updated
08/19/2016
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