Individual
MS. SUSAN MONTGOMERY WELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 BLYTHE BLVD, ANESTHESIA SERVICES 5TH FLOOR SURGICAL TOWER, CHARLOTTE, NC 28203-5812
(704) 355-8983
Mailing address
PO BOX 32861, ANESTHESIA SERVICES 5TH FLOOR SURGICAL TOWER, CHARLOTTE, NC 28232-2861
(704) 355-8983
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
162518
NC
367500000X
Certified Registered Nurse Anesthetist
22373
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8053654
—
NC
05
—
NAN924
—
SC
Enumeration date
06/01/2009
Last updated
11/01/2025
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