Individual
MRS. RACHEL A VASALY BURTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3325 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 716-9253
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-0238
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5016012
NC
363LP0200X
Pediatric Nurse Practitioner
5016012
NC
Other
Enumeration date
12/19/2023
Last updated
02/21/2024
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