Tiffany Latrena Streeter CRNA

NPI 1942343306 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1942343306
Gender Female
Enumeration Date 02/15/2007
Last Updated 06/04/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
3000 NEW BERN AVE
RALEIGH NC, 27610-1231, US
Phone (919) 350-5645
Fax
Business Location
5330 GARDEN SPRINGS LN
#201
RALEIGH NC, 27610-5286, US
Phone
Fax
Toxanomy
Taxonomy Code 367500000X
License State North Carolina
License Number 120651
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According to our database, Tiffany Latrena Streeter CRNA NPI is 1942343306, taxonomy code is 367500000X and license number is 120651, license state is located at North Carolina. Tiffany Latrena Streeter CRNA physically located at 3000 New Bern Ave, Raleigh NC, 27610-1231. NPI Number Tiffany Latrena Streeter CRNA has the Individual type.

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1942343306 NPI number is provided on an as is basis without warranty of any kind. 1942343306 is maintained by the National Plan & Provider Enumeration System. The contents of Tiffany Latrena Streeter CRNA are for informational purposes only.