Individual
MS. TONI MARIE DEMARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1393 CARROLLTON CROSSING DR, KERNERSVILLE, NC 27284-4047
(336) 423-0215
(800) 264-8472
Mailing address
1393 CARROLLTON CROSSING DR, KERNERSVILLE, NC 27284-4047
(336) 423-0215
(800) 264-8472
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024168603
VA
367500000X
Certified Registered Nurse Anesthetist
2010037213
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
4704137811
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430F364420
BCBSM
MI
05
—
4447295
—
MI
Enumeration date
03/06/2006
Last updated
11/24/2021
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