Individual provider · NPI-1

Alythia Monique Carlson Alcorn, NP

Nurse Practitioner · Winston Salem, NC

NPI number1346411014
StatusActive
Last updated in NPPESApr 19, 2022

Details

NPI
1346411014
Entity type
Individual (NPI-1)
Name
Alythia Monique Carlson Alcorn
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Mar 20, 2008
Certification date
Apr 19, 2022
Last updated
Apr 19, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner5003940NCYes
363LN0005X Nurse Practitioner, Neonatal, Critical Care5003940NC

Practice location

3333 Silas Creek Pkwy
Nicu
Winston Salem, NC 27103-3013

Phone 336-718-3150

Mailing address

2000 Frontis Plaza Blvd
Suite 102
Winston Salem, NC 27103-5616

Phone 336-277-2437

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