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Step Up Pediatric And Adolescent Wellness Center
Family Nurse Practitioner in Winston Salem, North Carolina
NPI 1801163423

Step Up Pediatric And Adolescent Wellness Center is a Family Nurse Practitioner based in Crozet, NC and is specialized in Family. Step Up Pediatric And Adolescent Wellness Center practices in Winston Salem, NC. The NPI Number for Step Up Pediatric And Adolescent Wellness Center is 1801163423 and holds a License No. (North Carolina).

The current practice location address for Step Up Pediatric And Adolescent Wellness Center is 3410 Healy Dr, Winston Salem, NC and can be reached out via phone at 336-765-8614 and via fax at 336-765-8605.

Location: 3410 Healy Dr, Winston Salem, NC, 22932-0801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801163423
Provider Name
Step Up Pediatric And Adolescent Wellness Center
Credential
Provider Entity Type
Organization
Address
3410 Healy Dr, Winston Salem, NC, 22932-0801
Phone Number
336-765-8614
Fax Number
336-765-8605
Provider Enumeration Date
11/28/2011
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
026MP 01 BCBS
institution
Provider Business Practice Location Address Details
Address
3410 Healy Dr
City
Winston Salem
State
North Carolina
Zip
27103-1403
Phone Number
336-765-8614
Fax Number
336-765-8605
person
Provider Business Mailing Address Details
Address
3410 Healy Dr
City
Winston Salem
State
North Carolina
Zip
27103-1403
Phone Number
336-765-8614
Fax Number
336-765-8605
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
124938 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
177279 (North Carolina)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
(North Carolina)
Definition
Definition to come...
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