Individual
MRS. NINA DOUGLAS PHAUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON-SALEM, NC 27103-3013
(336) 718-5000
Mailing address
PO BOX 607, HIGH POINT, NC 27261-0607
(336) 841-5368
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
035453
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050524
—
NC
Enumeration date
07/07/2006
Last updated
10/27/2020
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