AUDREY BLAIRE WHITAKER

WINSTON SALEM, NC
NPI1245909837
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NC  5015001)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: NC  50150001)
Enumeration Date2021-09-08
Last Update Date2023-09-25
Business Address
AUDREY BLAIRE WHITAKER NP
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-4081
Mailing Address
AUDREY BLAIRE WHITAKER NP
100 KIMEL FOREST DR
WINSTON SALEM, NC 27103-6074
Phone number: 336-716-0238