Individual
JULIE COOPER ELMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Mailing address
3100 SPRING FOREST RD, STE 130, RALEIGH, NC 27616-2880
(919) 873-9533
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
180249
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
53752
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430069451
RAILROAD-MEDICARE
NC
05
—
8051525
—
NC
Enumeration date
02/05/2007
Last updated
12/18/2014
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