Individual
MS. PATRICIA JEANETTE PEABODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2430 EMERALD PL, SUITE 201, GREENVILLE, NC 27834-5784
(252) 752-2140
(252) 752-8054
Mailing address
2430 EMERALD PL, SUITE 201, GREENVILLE, NC 27834-5784
(252) 752-2140
(252) 752-8054
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
180099
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
020941
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00601415
RAILROAD MEDICARE
NC
Enumeration date
09/21/2006
Last updated
07/22/2008
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