Individual
MS. MARILYN L. CREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 718-8278
(336) 718-9271
Mailing address
158 RIVER RD, ADVANCE, NC 27006-7640
(336) 940-2752
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
136009
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
136009
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050049
—
NC
Enumeration date
12/05/2005
Last updated
05/12/2017
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