Individual
DIA FAYE-DELPAGGIO ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-6428
(336) 716-2525
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
300174
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192884
MEDCOST
—
05
—
7004476
—
NC
01
—
7714907
AETNA
—
Enumeration date
08/17/2006
Last updated
09/25/2024
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