Individual
MARIA M PELLEGRINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615-4569
(864) 522-3700
(864) 522-3705
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
051314
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
1319
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN0911
—
SC
Enumeration date
07/28/2006
Last updated
08/22/2022
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