Individual
MR. ZACHERY RYAN FLENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5833 CAMEO GLASS WAY, RALEIGH, NC 27612
(814) 935-6329
Mailing address
5833 CAMEO GLASS WAY, RALEIGH, NC 27612
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001207748
VA
163W00000X
Registered Nurse
244604
NC
163W00000X
Registered Nurse
RN.351247-
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
244604
NC
Other
Enumeration date
01/11/2011
Last updated
08/11/2016
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