Individual
DR. MACKENZIE RAE HAUSER-CREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1350 WHITAKER RIDGE DR, WINSTON SALEM, NC 27106-4966
(336) 718-8000
(336) 718-8011
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 718-8000
(336) 718-8011
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
304336
NC
363L00000X
Nurse Practitioner
Primary
5018746
NC
363LF0000X
Family Nurse Practitioner
5018746
NC
Other
Enumeration date
08/11/2023
Last updated
07/31/2024
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