Individual
VIRGINIA MISTRETTA MCLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MN, NNP-BC
Contact information
Practice address
MEDICAL CENTER BLVD, NICU, WINSTON SALEM, NC 27157-0001
(336) 713-6428
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0001
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
AP08482
LA
363LN0000X
Neonatal Nurse Practitioner
MIST-15VE7N
NC
Other
Enumeration date
01/20/2016
Last updated
10/06/2020
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