Individual
MS. BRUNILDA MARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2700 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-9494
(919) 587-4720
Mailing address
2700 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-9494
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
564054
NY
363L00000X
Nurse Practitioner
F335946
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
006927
NC
Other
Enumeration date
09/24/2009
Last updated
06/20/2023
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