Individual
MICHELLE SEPE TABILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
759 TWICKENHAM LN, WINSTON SALEM, NC 27127-5991
(743) 444-8932
Mailing address
759 TWICKENHAM LN, WINSTON SALEM, NC 27127-5991
(743) 444-8932
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
327445
NC
163WM0705X
Medical-Surgical Registered Nurse
Primary
327445
NC
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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