Individual
CLAIRE COWEN MANNING WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
N2198 UNC HOSPITALS, CB # 7010, CHAPEL HILL, NC 27599-7010
(919) 966-5136
(984) 974-4873
Mailing address
PO BOX 271647, SALT LAKE CITY, UT 84127-1647
(919) 667-4526
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
219670
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
91109
NC
Other
Enumeration date
07/06/2012
Last updated
01/10/2023
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