Individual
MRS. JANE ELIZABETH NYMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
920 CHURCH ST N, CONCORD, NC 28025-2927
(704) 783-1689
(704) 783-2527
Mailing address
920 CHURCH ST N, CONCORD, NC 28025-2927
(704) 783-1689
(704) 783-2527
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
072594
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
1406
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050779
—
NC
05
—
NAN683
—
SC
Enumeration date
07/14/2006
Last updated
12/22/2023
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