Individual
KRISTEN ASHLEIGH CARTER MANGOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-9252
(336) 713-9387
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-0238
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5017669
NC
363LP0200X
Pediatric Nurse Practitioner
MANG-RH5S7
NC
Other
Enumeration date
02/10/2023
Last updated
04/03/2023
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