Individual
CARRIE BRUNO MANESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-7263
Mailing address
1347 FOXFIRE RD, ASHEBORO, NC 27205-8647
(336) 879-8380
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
084192
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
084192
AANA #
NC
01
—
189114
RN LICENSE #
NC
Enumeration date
09/22/2009
Last updated
09/22/2009
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