Individual
OLIVIA BRYCE NANETTE MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2000
Mailing address
622 W SANDY RIDGE RD, MONROE, NC 28112-9332
(704) 221-4073
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
286094
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
134292
NC
Other
Enumeration date
12/23/2020
Last updated
01/19/2021
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