Organization
SUPREME ANESTHESIA CARE SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VARNAR DALISE SPENCER MSN,CRNA (CEO)
(919) 621-3751
Entity
Organization
Contact information
Practice address
132 BRECKENRIDGE DR, GARNER, NC 27529-7524
(919) 621-3751
Mailing address
132 BRECKENRIDGE DR, GARNER, NC 27529-7524
(919) 621-3751
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
173966
NC
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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