Individual
MRS. MILDRED B. LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA MSN
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-8983
(704) 355-8994
Mailing address
PO BOX 32861, ANESTHESIA SVCS - 5TH FLOOR SURGERY TOWER, CHARLOTTE, NC 28232-2861
(704) 355-8983
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0110332
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050684
—
NC
05
—
NAN748
—
SC
Enumeration date
06/26/2006
Last updated
06/06/2010
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