Individual
MICHELLE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(619) 794-8148
Mailing address
1630 BARCLAY POINTE BLVD APT 9203, WILMINGTON, NC 28412-1107
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
276301
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Enumeration date
11/16/2019
Last updated
03/04/2021
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