Individual
TALISHA NICOLE PEAY MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
720 E MOREHEAD ST, STE 201, CHARLOTTE, NC 28202-2704
(704) 355-2147
Mailing address
3301 DUNFIELD CT, CHARLOTTE, NC 28269-8182
(704) 517-7558
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
171838
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NAN997
—
SC
Enumeration date
12/15/2010
Last updated
09/13/2011
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