NPI 1063950178

Katherine Ellenwood

Practitioner Community Health Worker Greensboro, NC

Practice location

Address: 3698 Cotswold Ave 3c, Greensboro, NC 27410-9634
Phone: (336) 402-4292

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X Licence 6180 (NC)

Other Community Health Worker providers in North Carolina →

Registry record

NPI: 1063950178
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Feb 2017
Record last updated: 9 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.