Individual
ROBERT NEAL MACLENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2430 EMERALD PL, SUITE 201, GREENVILLE, NC 27834-5784
(252) 752-2140
(252) 752-3949
Mailing address
2430 EMERALD PL, SUITE 201, GREENVILLE, NC 27834-5784
(252) 752-2140
(252) 752-3949
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
244819
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
78470
NC
367500000X
Certified Registered Nurse Anesthetist
APRN3461
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073799060
TRICARE
NC
05
—
8053584
—
NC
05
—
AN1648
—
SC
01
—
P00895944
RAILROAD MEDICARE
NC
Enumeration date
01/21/2008
Last updated
12/17/2024
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