Individual
BRANDON ELVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
500 ACADEMY ST S, AHOSKIE, NC 27910-3248
(252) 209-3000
Mailing address
3674 NEW TOWN CT, FARMVILLE, NC 27828-9415
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
116889
NC
Other
Enumeration date
06/09/2017
Last updated
12/10/2020
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