MONIQUE MITCHELL MUMFORD

WINSTON SALEM, NC
NPI1083296867
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NC  5014372)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: NC  F08200879)
Enumeration Date2021-04-22
Last Update Date2023-04-17
Business Address
MONIQUE MITCHELL MUMFORD FNP-C
190 KIMEL PARK DR STE 121
WINSTON SALEM, NC 27103-6946
Phone number: 336-718-7300
Mailing Address
MONIQUE MITCHELL MUMFORD FNP-C
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number: 336-287-7022