Individual
DR. CAROLINE REVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3643 N ROXBORO ST, DURHAM, NC 27704
(919) 479-6193
Mailing address
4096 FAULKNER LN, TALLAHASSEE, FL 32311-1676
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11008232
FL
367500000X
Certified Registered Nurse Anesthetist
266819
NC
Other
Enumeration date
10/24/2017
Last updated
05/07/2024
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