Individual
MS. MARIA IYABODEI SORINOLU-FAMUYIWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
117 E KINGS HWY, EDEN, NC 27288-5201
(336) 623-9711
Mailing address
117 E KINGS HWY, EDEN, NC 27288-5201
(336) 623-9711
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN136428
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000801303E
—
GA
Enumeration date
09/27/2005
Last updated
04/26/2026
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