Individual
MRS. DORINDA BRICOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
3333 BROOKVIEW HILLS BLVD, WINSTON SALEM, NC 27103-5661
(336) 716-8660
Mailing address
5234 SYLVANIA DR, EAST BEND, NC 27018-8492
(336) 391-6332
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5014680
NC
363LP0200X
Pediatric Nurse Practitioner
BRIC-AZ9A6
NC
Other
Enumeration date
08/02/2021
Last updated
09/30/2021
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