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Individual

MS. LE'STARR MONIQUE ROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
510 N ELAM AVE STE 202, GREENSBORO, NC 27403-1177
(336) 299-3183
(336) 299-1762
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-1331

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
239661
NC
363L00000X
Nurse Practitioner
Primary
5019213
NC
363LF0000X
Family Nurse Practitioner
F10230750
NC

Other

Enumeration date
02/05/2014
Last updated
03/04/2026
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