Individual
MRS. ANITA LYNNETTE ATKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2080 W ARLINGTON BLVD STE B, GREENVILLE, NC 27834-3770
(252) 752-2140
(252) 689-6502
Mailing address
2080 W ARLINGTON BLVD STE B, GREENVILLE, NC 27834-3770
(252) 752-2140
(252) 689-6502
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
111033
NC
367500000X
Certified Registered Nurse Anesthetist
049757
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
1788
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306945100
TRICARE
NC
05
—
8051845
—
NC
01
—
P00600552
RAILROAD MEDICARE
NC
Enumeration date
09/21/2006
Last updated
05/20/2021
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