Individual
NAYANA ANNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
207 OLD LEXINGTON RD, THOMASVILLE, NC 27360-3428
(336) 476-2586
Mailing address
207 OLD LEXINGTON RD, THOMASVILLE, NC 27360-3428
(336) 476-2586
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
36754
NC
367500000X
Certified Registered Nurse Anesthetist
TEMP003513
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8052955
—
NC
Enumeration date
07/01/2006
Last updated
12/16/2009
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