Individual
MISS ELYSHIA MICHELLE WARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4010 MENDENHALL OAKS PKWY, HIGH POINT, NC 27265-8076
(336) 887-3195
(336) 887-3194
Mailing address
4010 MENDENHALL OAKS PKWY, HIGH POINT, NC 27265-8076
(336) 887-3195
(336) 887-3194
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-00542
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-00542
NC MEDICAL BOARD
NC
Enumeration date
08/30/2006
Last updated
03/24/2021
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