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Individual

DR. RENEE MILLER STAKEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, AGNP-C

Contact information

Practice address
302 WESTWOOD AVE, HIGH POINT, NC 27262-4324
(336) 716-2255
Mailing address
2232 SHERWOOD DR, WINSTON SALEM, NC 27103-4447
(336) 918-8270

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
217830
NC

Other

Enumeration date
10/19/2018
Last updated
01/04/2019
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