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Individual

SCOT GUILOTT AIENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
607 BEAMAN ST, ANESTHESIA DEPARTMENT, CLINTON, NC 28328-2603
(910) 590-8729
(910) 590-2321
Mailing address
110 S CHANNEL DR, WRIGHTSVILLE BEACH, NC 28480-1913
(910) 509-1814

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
21059
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
154625
NC NURSING LICENSE
NC
05
8051212
NC
Enumeration date
11/17/2006
Last updated
02/25/2010
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