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Individual

MS. CHRISTINE ELIZABETH GRISSETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
240 HOSPITAL DR NE, BOLIVIA, NC 28422-8346
(910) 755-1004
(910) 755-1474
Mailing address
240 HOSPITAL DR NE, BOLIVIA, NC 28422-8346
(910) 755-8121
(910) 721-1359

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
175136
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8054099
NC
Enumeration date
10/26/2011
Last updated
10/28/2020
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