Individual
MS. JOAN K BUCARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2825 RANDOLPH RD, CHARLOTTE, NC 28211-1075
(704) 377-1647
(704) 358-8267
Mailing address
PO BOX 5615, FRESNO, CA 93755-5615
(559) 436-1000
(559) 354-4235
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
041419
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050571
—
NC
Enumeration date
04/14/2006
Last updated
03/25/2015
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