Individual
MARY-BELLE JO MIKESELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(984) 974-1000
Mailing address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(984) 974-1000
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
277062
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
6885
NC
Other
Enumeration date
07/20/2021
Last updated
09/19/2024
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