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Individual

MS. TRICIA LYN DEAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-8983
(704) 355-8994
Mailing address
PO BOX 32861, ANESTHESIA SVCS - 5TH FL SURGERY TOWER, CHARLOTTE, NC 28232-2861
(704) 355-8983

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
162850
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11012905
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8052719
NC
05
NAN725
SC
Enumeration date
07/06/2006
Last updated
10/28/2021
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