Individual
KATRINA ANNETTE DENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
380 KNOLLWOOD ST # 505, WINSTON SALEM, NC 27103-1884
(833) 357-2966
Mailing address
PO BOX 602658, CHARLOTTE, NC 28260-2658
(336) 716-2011
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
005001013
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7000691
—
NC
Enumeration date
06/11/2006
Last updated
10/25/2019
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