Individual
NANCY JEAN PROTHERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-7600
(336) 713-4039
(336) 716-6937
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-4039
(336) 716-6937
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
656
NC
367A00000X
Advanced Practice Midwife
0024166564
VA
367A00000X
Advanced Practice Midwife
Primary
656
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010253811
—
VA
01
—
PENDING
ANTHEM BLUE CROSS
VA
Enumeration date
07/19/2006
Last updated
02/01/2022
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