Provider Demographics
NPI:1093374985
Name:STRICKLAND, KATIE MICHELLE (NP-C)
Entity type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:MICHELLE
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MEDICAL CENTERBLVD
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27157-0001
Mailing Address - Country:US
Mailing Address - Phone:336-713-7777
Mailing Address - Fax:336-716-1119
Practice Address - Street 1:500 SHEPHERD ST STE 300
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-1633
Practice Address - Country:US
Practice Address - Phone:336-713-7777
Practice Address - Fax:336-716-1119
Is Sole Proprietor?:No
Enumeration Date:2019-06-13
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5017347363L00000X
AL1-131649363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner