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Individual

KATIE SCOTT WINGATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
420 W MOUNTAIN ST, KERNERSVILLE, NC 27284-2534
(336) 993-1618
(336) 993-5512
Mailing address
420 W MOUNTAIN ST, KERNERSVILLE, NC 27284-2534
(336) 993-1618
(336) 993-5512

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5006717
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
5006717
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5006717
NURSE PRACTITIONER APPROVAL NUMBER
NC
Enumeration date
02/06/2014
Last updated
04/16/2025
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