Individual
KAREN ANN MEADVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3034
Mailing address
3100 SPRING FOREST RD, STE 130, RALEIGH, NC 27616-2880
(919) 882-0795
(919) 873-9821
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
203735
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8052330
—
NC
01
—
P00323532
RAILROAD-MEDICARE
NC
Enumeration date
01/26/2007
Last updated
04/04/2016
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