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Individual

BRANDI MELISSA DECRISCIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP

Contact information

Practice address
111 HANESTOWN CT, WINSTON SALEM, NC 27103-1749
(336) 765-9350
Mailing address
1949 HELMSTETLER RD, LEXINGTON, NC 27295-4904
(336) 287-1170

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5012479
NC
363LW0102X
Women's Health Nurse Practitioner
Primary
5012479
NC

Other

Enumeration date
10/14/2019
Last updated
08/26/2025
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