Individual
MRS. YURI JANEL POWELL-FAULKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-4274
Mailing address
PO BOX 601549, CHARLOTTE, NC 28260-1549
(704) 384-4239
(704) 417-4870
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
22542662
NY
163W00000X
Registered Nurse
R166703
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
76606
NC
367500000X
Certified Registered Nurse Anesthetist
R166703
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199980701
—
TX
01
—
87751U
BLUE CROSS BLUE SHIELD ID
—
Enumeration date
01/13/2007
Last updated
10/28/2020
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