Church, Vanessa

Church, Vanessa is an individual health care provider with primary practice located at 4911 Brian Center Ln , Winston Salem NC 27106-6423. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Church, Vanessa can be contacted via phone (336) 744-5674.

Contact Information

Primary practice address
4911 Brian Center Ln Winston Salem NC 27106-6423
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 5015284 North Carolina

Profile Details

NPI number 1235894056
LBN Legal business name Church, Vanessa
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2021
Last updated Apr 5th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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