Individual
THERESA M CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NNP-BC
Contact information
Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-6428
Mailing address
5912 CROSSVIEW DR, KERNERSVILLE, NC 27284-6974
(706) 362-7581
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
5021944
NC
Other
Enumeration date
04/05/2025
Last updated
04/05/2025
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