Individual
GINA LEE ENEVOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
600063
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7000915
—
NC
01
—
7570650
AETNA
—
01
—
B4296
MEDCOST
—
Enumeration date
11/28/2005
Last updated
05/07/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us