Individual
ABBY CAITLIN NIEDERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2301 ERWIN ROAD, DURHAM, NC 27710-2849
(919) 668-1778
Mailing address
PO BOX 110566, DURHAM, NC 27709-5566
(919) 620-4855
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
349269
NC
163W00000X
Registered Nurse
9370291
FL
367500000X
Certified Registered Nurse Anesthetist
131466
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
6961
NC
Other
Enumeration date
07/10/2021
Last updated
11/09/2022
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