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General NPI Number Information
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NPI Number | 1568640019
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Entity Type | Individual
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Provider Name | CHRISTINE MARIE PEVERINI DNP, ARNP, ANP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/07/2008
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | MEDICAL CENTER BLVD
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City | WINSTON SALEM
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State | NC
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Zip | 27157-0001
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Country | US
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Telephone | 336-716-6674
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Fax | 336-716-9188
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Provider Business Mailing Address
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Address Line | MEDICAL CENTER BLVD
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City | WINSTON SALEM
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State | NC
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Zip | 27157-0001
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Country | US
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Telephone | 336-716-6674
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Fax | 336-716-9188
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 2630002
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5022539
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN200011
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 207RA0002X
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Taxonomy Name | Adult Congenital Heart Disease Physician
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License Number | 200011
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License Number State | GA
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