Individual
ROSEMARY E BISTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1950 S HAWTHORNE RD, WINSTON SALEM, NC 27103-3912
(336) 718-0600
Mailing address
117 BURKEWOOD DR, WINSTON SALEM, NC 27104-3936
(336) 768-2356
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
174282
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051389
—
NC
Enumeration date
07/08/2005
Last updated
07/08/2007
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