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Individual

MRS. JANET GODWIN EARNHEART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
10628 PARK RD, ANESTHESIA DEPARTMENT, CHARLOTTE, NC 28210-8407
(704) 667-1000
Mailing address
10628 PARK RD, ANESTHESIA DEPARTMENT, CHARLOTTE, NC 28210-8407
(704) 667-1971

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
049663
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8051794
NC
05
NAN757
SC
Enumeration date
06/28/2006
Last updated
08/14/2008
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