Mary K Leavery in Winston Salem - Nurse Anesthetist, Certified Registered
Mary K Leavery - NPI 1063520005
Mary K Leavery is a Nurse Anesthetist, Certified Registered in Winston Salem, North Carolina. Mary K Leavery practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Mary K Leavery is 1063520005. The last update date is 2020-10-28.
Mary K Leavery's current location address is 145 Kimel Park Dr Ste 120, Winston Salem, North Carolina. You can contact this provider via phone number 3367683212 and fax number 3367689019. The mailing address for Mary K Leavery is 145 Kimel Park Dr Ste 120, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary K Leavery |
|---|---|
| Address | 145 Kimel Park Dr Ste 120, Winston Salem, North Carolina |
| Phone Number | 3367683212 |
| Fax Number | 3367689019 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1063520005 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2020-10-28 |
Provider Mailing Address Detail
| Address | 145 Kimel Park Dr Ste 120 |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271036983 |
| Phone Number | 3367683212 |
| Fax Number | 3367689019 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 993 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| AN0749 | SC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mary K Leavery by the Centers for Medicare & Medicaid Services (CMS)?
The Mary K Leavery has been assigned the NPI (National Provider Identifier) 1063520005. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Mary K Leavery is geographically located?
The Mary K Leavery is physically situated at the following location: 145 Kimel Park Dr Ste 120, Winston Salem, NC, 271036983.
What is Mary K Leavery's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mary K Leavery's specialized field of practice is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this area of specialization is 367500000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1063520005 to Mary K Leavery?
The Centers for Medicare & Medicaid Services assigned the 1063520005 to Mary K Leavery on 2006-08-29.
As of what date was the information regarding Mary K Leavery, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mary K Leavery, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-10-28.
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