Individual
MARY KATHERINE CROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 LAKESIDE DR NW, WILSON, NC 27896-2013
(252) 291-1732
Mailing address
1001 LAKESIDE DR NW, WILSON, NC 27896-2013
(252) 291-1732
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
165894
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
91082
NC
Other
Enumeration date
07/06/2012
Last updated
12/07/2016
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