Individual
ERIC MANNION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA, RN
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3100
Mailing address
105 FIDELITY ST APT B7, CARRBORO, NC 27510-2063
(216) 253-9943
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
6470
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2019
Last updated
10/26/2020
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