Individual
LAURA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
104 CAMBRIDGE PLAZA DR, WINSTON SALEM, NC 27104-3556
(336) 722-7266
(336) 201-0538
Mailing address
713 S MARSHALL ST, WINSTON SALEM, NC 27101-5808
(336) 722-7266
(336) 832-9691
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
5006718
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5006718
NC
Other
Enumeration date
02/19/2014
Last updated
04/17/2023
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