Individual
MS. CHELSEY RAE MACEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4692 BROWNSBORO RD, WINSTON SALEM, NC 27106-3410
(336) 251-1114
Mailing address
4692 BROWNSBORO RD, WINSTON SALEM, NC 27106-3410
(336) 251-1114
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
277814
NC
363LG0600X
Gerontology Nurse Practitioner
Primary
5013215
NC
Other
Enumeration date
06/17/2020
Last updated
10/21/2021
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