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Individual

BRITTANY PAIGE VESTAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2485 HEMBY LN, SUITE A, GREENVILLE, NC 27834-3701
(252) 752-2140
(252) 689-6502
Mailing address
2485 HEMBY LN, SUITE A, GREENVILLE, NC 27834-3701
(252) 752-2140
(252) 689-6502

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
221589
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
89987
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1467719682
TRICARE
NC
05
8054227
NC
Enumeration date
04/12/2012
Last updated
04/22/2016
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