Individual
MRS. ANNE ELIZABETH HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, PMHNP-BC
Contact information
Practice address
140 KIMEL PARK DR STE 200, WINSTON SALEM, NC 27103-6185
(336) 718-7250
(336) 718-7260
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5015630
NC
Other
Enumeration date
09/20/2021
Last updated
05/10/2022
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