Individual
MRS. CARY TIERNEY HODSHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2448 MAPLEWOOD AVE, WINSTON SALEM, NC 27103-3535
(336) 723-7568
Mailing address
2448 MAPLEWOOD AVE, WINSTON SALEM, NC 27103-3535
(336) 723-7568
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN 131984
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131984
RN LICENCE
NC
Enumeration date
09/27/2007
Last updated
09/27/2007
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