Individual
LOU ANN EARNHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AGPCNP-BC
Contact information
Practice address
1900 W 1ST ST, WINSTON SALEM, NC 27104-4220
(737) 226-6700
(737) 226-6750
Mailing address
1315 KENSINGTON DR, HIGH POINT, NC 27262-7317
(336) 848-8250
(737) 226-6750
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
254702
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
5009475
NC
Other
Enumeration date
04/06/2017
Last updated
07/21/2022
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