Individual
MRS. TINA MARIE KAHWATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607
(919) 784-3034
Mailing address
3100 SPRING FOREST RD, SUITE 130, RALEIGH, NC 27616-2880
(919) 873-9533
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
74199
NC
367500000X
Certified Registered Nurse Anesthetist
ARNP3196982
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8053382
—
NC
01
—
G3917
BC/BS OF FLORIDA NUMBER
FL
Enumeration date
07/19/2006
Last updated
08/06/2018
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