Individual provider · Type 1 NPI

Mary Kathryn Alonso, CPNP-PC, PMHNP-BC

Nurse Practitioner · Winston Salem, NC

NPI number 1982290953 Active

Practice location

2200 Cloverdale Ave Ste 410
Winston Salem, NC 27103-2300

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X5024530 (NC)
Nurse Practitioner 363L00000X3015577 (KY)
Pediatric Nurse Practitioner 363LP0200X5024530 (NC)
Nurse Practitioner Primary 363L00000X5024530 (NC)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X3015577 (KY)
Pediatric Nurse Practitioner 363LP0200X3015577 (KY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1982290953

Mary Kathryn Alonso, CPNP-PC, PMHNP-BC's National Provider Identifier is 1982290953, issued on Dec 14, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Winston Salem, NC. The record was last updated on Sep 4, 2026.