Individual
MARY LANYING SHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2308 WESVILL CT, RALEIGH, NC 27607-2949
(919) 781-4311
Mailing address
8305 RUBBLESTONE PATH, RALEIGH, NC 27613-7484
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
000255
NC
Other
Enumeration date
01/09/2013
Last updated
01/16/2024
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