Provider Demographics
NPI:1437498326
Name:SALES, MARJORIE G (RN MSN PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:MARJORIE
Middle Name:G
Last Name:SALES
Suffix:
Gender:F
Credentials:RN MSN PMHNP-BC
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Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3000 BETHESDA PL
Mailing Address - Street 2:SUITE 801
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-3331
Mailing Address - Country:US
Mailing Address - Phone:336-659-9141
Mailing Address - Fax:336-659-1456
Practice Address - Street 1:3000 BETHESDA PL
Practice Address - Street 2:SUITE 801
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-3331
Practice Address - Country:US
Practice Address - Phone:336-659-9141
Practice Address - Fax:336-659-1456
Is Sole Proprietor?:No
Enumeration Date:2013-02-12
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC197576363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health