Individual
NICOLE CHRISTINE RIERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3001 LYNDHURST AVE, WINSTON SALEM, NC 27103-4007
(336) 765-0383
Mailing address
7861 BUMPY RD, LEWISVILLE, NC 27023-8417
(704) 775-6909
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
214213
NC
363L00000X
Nurse Practitioner
Primary
5016547
NC
Other
Enumeration date
07/18/2022
Last updated
08/02/2024
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