Individual
NANCY FRIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2525 COURT DR, GASTONIA, NC 28054-2140
(704) 834-2825
Mailing address
PO BOX 12845, GASTONIA, NC 28052-0017
(704) 864-8772
(704) 866-7853
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
043193
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
043193
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050643
—
NC
05
—
NAN453
—
SC
Enumeration date
07/07/2006
Last updated
01/15/2016
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