Individual provider · Type 1 NPI

Christele Kidibu Martin, FNP-BC

Family Nurse Practitioner · Winston Salem, NC

NPI number 1962275313 Active

Practice location

2101 Peters Creek Pkwy Ste 16-19
Winston Salem, NC 27127-3726

Fax (336) 893-9987

Mailing address

PO Box 12341
Winston Salem, NC 27117-2341

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X5019140 (NC)
Adult Medicine Physician 207QA0505X2023085235 (NC)

Family Nurse Practitioner: Definition to come...

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About NPI 1962275313

Christele Kidibu Martin, FNP-BC's National Provider Identifier is 1962275313, issued on Nov 6, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Winston Salem, NC. The record was last updated on Jun 11, 2026.