Individual
MRS. EMILY J HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
306 OLD DOCK TRL, CARY, NC 27519-6900
(919) 656-4634
Mailing address
3100 SPRING FOREST RD, SUITE 130, RALEIGH, NC 27616-2880
(919) 873-9533
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
188649
NC
367500000X
Certified Registered Nurse Anesthetist
100956
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295171460
—
NC
Enumeration date
05/15/2013
Last updated
01/27/2014
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