Individual
NICHOLAS RYAN TUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 409-1797
Mailing address
1010 POOL SIDE DR, GERMANTON, NC 27019-9138
(336) 409-1797
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
134686
NC
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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