Individual
KATINA ANDREA MCNUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
509 BILTMORE AVE, ASHEVILLE, NC 28801-4601
(828) 213-6130
Mailing address
509 BILTMORE AVE, ASHEVILLE, NC 28801-4601
(864) 363-3893
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
221709
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
006375
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
221709
REGISTERED NURSE
SC
Enumeration date
03/20/2020
Last updated
08/26/2022
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