Individual
LINDA WALLACE SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-6938
Mailing address
9411 S LOWELL RD, BAHAMA, NC 27503-9235
(919) 471-6666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
038431
NC
Other
Enumeration date
07/06/2006
Last updated
07/08/2007
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