Individual
SAMANTHA SKEEN CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(363) 713-6428
(336) 716-2525
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
5016609
NC
363LN0005X
Critical Care Neonatal Nurse Practitioner
104851799
NC
Other
Enumeration date
07/21/2022
Last updated
03/02/2023
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