Individual
CROSSLEY RAE HACKNEY
Active
Sole proprietor
Yes
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
5209 WINTER HOLLY CT, RALEIGH, NC 27606-8712
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
342913
NC
367500000X
Certified Registered Nurse Anesthetist
144820
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
6965
NC
Other
Enumeration date
05/08/2022
Last updated
09/19/2022
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