Individual
BRANDON SCOTT FAUCETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
500 ACADEMY ST S, AHOSKIE, NC 27910-3248
(252) 209-3000
Mailing address
2080 W ARLINGTON BLVD STE B, GREENVILLE, NC 27834-3770
(252) 752-2140
(252) 689-6502
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
232890
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
126321
NC
Other
Enumeration date
02/15/2019
Last updated
12/09/2020
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