Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0214X | Pediatric Pulmonologist | 2018-01638 | NC |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 099006826N1 | OR |
NPI | 1689659161 |
---|---|
Provider Name | Sheila Maria Maurer |
First Address | Winston Salem, NC 27103-6074 |
Second Address | Winston Salem, NC 27157-5243 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2005 |
Last Update Date | 10/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
262478 | (05) | OR |
390200000X | PSYCHIATRY RESIDENT (01) |