Individual
LUKE BRENSEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
12208 N NC HIGHWAY 150, WINSTON SALEM, NC 27127-9730
(336) 764-2324
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5010426
NC
363LF0000X
Family Nurse Practitioner
5010426
NC
Other
Enumeration date
04/04/2018
Last updated
10/26/2020
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