Individual
MS. KATHRYN GRAYCE DANDREA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
19137 COACHMANS TRCE, CORNELIUS, NC 28031-9349
(704) 896-0638
(704) 896-2917
Mailing address
19137 COACHMANS TRCE, CORNELIUS, NC 28031-9349
(704) 896-0638
(704) 896-2917
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
097233
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
43025
CT
Other
Enumeration date
07/07/2005
Last updated
09/11/2025
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