Individual
LAURA RACHEL BLIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 667-7000
Mailing address
1021 NICHOLWOOD DR APT 101, RALEIGH, NC 27605-3218
(859) 803-8412
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
300364
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
7319
NC
Other
Enumeration date
02/14/2023
Last updated
06/13/2024
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