Nicole Davis Mock CRNA

NPI 1396931895 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1396931895
Gender Female
Enumeration Date 09/18/2007
Last Updated 12/15/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
4420 LAKE BOONE TRL
RALEIGH NC, 27607-7505, US
Phone (919) 784-3034
Fax
Business Location
3245 ROGERS RD
GRAHAM NC, 27253-7716, US
Phone (336) 226-6527
Fax
Toxanomy
Taxonomy Code 367500000X
License State North Carolina
License Number 145026
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According to our database, Nicole Davis Mock CRNA NPI is 1396931895, taxonomy code is 367500000X and license number is 145026, license state is located at North Carolina. Nicole Davis Mock CRNA physically located at 4420 Lake Boone Trl, Raleigh NC, 27607-7505. NPI Number Nicole Davis Mock CRNA has the Individual type.

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1396931895 NPI number is provided on an as is basis without warranty of any kind. 1396931895 is maintained by the National Plan & Provider Enumeration System. The contents of Nicole Davis Mock CRNA are for informational purposes only.