Carley W Bohannon CRNA

NPI 1548559941 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1548559941
Gender Female
Enumeration Date 04/06/2011
Last Updated 04/06/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
2525 COURT DR
GASTONIA NC, 28054-2140, US
Phone (704) 834-4113
Fax
Business Location
1550 UNION RD STE B
GASTONIA NC, 28054-5522, US
Phone (704) 864-8772
Fax (704) 866-7853
Toxanomy
Taxonomy Code 367500000X
License State North Carolina
License Number 087167
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According to our database, Carley W Bohannon CRNA NPI is 1548559941, taxonomy code is 367500000X and license number is 087167, license state is located at North Carolina. Carley W Bohannon CRNA physically located at 2525 Court Dr, Gastonia NC, 28054-2140. NPI Number Carley W Bohannon CRNA has the Individual type.

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1548559941 NPI number is provided on an as is basis without warranty of any kind. 1548559941 is maintained by the National Plan & Provider Enumeration System. The contents of Carley W Bohannon CRNA are for informational purposes only.