Individual provider · Type 1 NPI
Tawanna Latrice Hairston, ANP
Adult Health Nurse Practitioner · Winston Salem, NC
NPI number
1194789784
Active
Practice location
Medical Center Blvd
Winston Salem, NC 27157-0001
Mailing address
PO Box 602658
Charlotte, NC 28260-2658
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 900449 (NC) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1194789784
Tawanna Latrice Hairston, ANP's National Provider Identifier is 1194789784, issued on Apr 12, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Winston Salem, NC. The record was last updated on Nov 2, 2012.