Individual
MR. SEAN PATRICK GIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
2025 FRONTIS PLAZA BLVD, SUITE 120, WINSTON SALEM, NC 27103-5663
(336) 277-2200
(336) 277-2210
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 277-2200
(336) 277-2210
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5004127
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7005373
—
NC
Enumeration date
11/12/2008
Last updated
10/25/2020
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