Individual
ELLERY SWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
2460 CURTIS ELLIS DR, ROCKY MOUNT, NC 27804-2237
(919) 208-8824
Mailing address
3520 FERNWOOD DR, RALEIGH, NC 27612-6214
(919) 208-8824
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
139783
NC
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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