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Diane M Samelak, NP
Pediatric Nurse Practitioner in Winston Salem, North Carolina
NPI 1801872973

Diane M Samelak is a Pediatric Nurse Practitioner based in Winston Salem, NC and is specialized in Pediatrics. Diane M Samelak practices in Winston Salem, NC and has the professional credentials of NP. The NPI Number for Diane M Samelak is 1801872973 and holds a License No. 300150 (North Carolina).

The current practice location address for Diane M Samelak is Medical Center Blvd, Winston Salem, NC and can be reached out via phone at 336-716-2255.

Location: Medical Center Blvd, Winston Salem, NC, 27102-0344
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Provider Profile Details
NPI Number
1801872973
Provider Name
Diane M Samelak
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
Medical Center Blvd, Winston Salem, NC, 27102-0344
Phone Number
336-716-2255
Fax Number
Provider Enumeration Date
12/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7000933 05 NC
C4802 01 MEDCOST
10057680 05 VA
7883693 01 AETNA
institution
Provider Business Practice Location Address Details
Address
Medical Center Blvd
City
State
Zip
27157-0001
Phone Number
336-716-2255
Fax Number
person
Provider Business Mailing Address Details
Address
Medical Center Blvd
City
State
Zip
27157-0001
Phone Number
336-716-2255
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
300150 (North Carolina)
Definition
Definition to come...
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