is a Nurse Anesthetist, Certified Registered in Winston Salem, North Carolina. practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for is 1356452767. The last update date is .
's current location address is 145 Kimel Park Dr, Winston Salem, North Carolina. You can contact this provider via phone number 3367683212 and fax number 3367689019. The mailing address for is 145 Kimel Park Dr, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 145 Kimel Park Dr, Winston Salem, North Carolina |
| Phone Number | 3367683212 |
| Fax Number | 3367689019 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1356452767 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 145 Kimel Park Dr |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271036984 |
| Phone Number | 3367683212 |
| Fax Number | 3367689019 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 71124 |
|
Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8051408 | NC | -- | |
| P00184085 | RR MEDICARE |
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