Individual
BRENDA LEATHERMAN HESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
509 N BRIGHTLEAF BLVD, SMITHFIELD, NC 27577-4407
(919) 938-7188
Mailing address
10424 WHITESTONE RD, RALEIGH, NC 27615-1236
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
39835
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050550
—
NC
Enumeration date
08/30/2006
Last updated
07/08/2007
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