Theresa Michelle Oniffrey, PA-C
Physician Assistant in Winston Salem, NC. Individual provider (NPI-1).
NPI number1164097572
StatusActive
Last updated in NPPESJul 12, 2021
Details
- NPI
- 1164097572
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Theresa Michelle Oniffrey
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 26, 2021
- Certification date
- Jul 12, 2021
- Last updated
- Jul 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-10512 | NC | Yes |
| 363AM0700X | Physician Assistant, Medical | 0010-10512 | NC |
Practice location
1 Medical Center BlvdWinston Salem, NC 27157-0001
Phone 336-713-8570
Mailing address
Medical Center BlvdWinston Salem, NC 27157-0001
Phone 336-713-8250 · Fax 336-713-8588
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All 646 Physician Assistant providers in Winston Salem · All 11,775 providers in Winston Salem
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