Organization
THE PRESBYTERIAN HOSPITAL
Active
Parent organization
THE PRESBYTERIAN HOSPITAL
Other names
Novant Health Presbyterian Medical Center CRNAs
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE PRESBYTERIAN HOSPITAL
Authorized official
AMY S. VANCE (COO)
(704) 384-4559
Entity
Organization
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-4239
(704) 384-5636
Mailing address
PO BOX 601549, CHARLOTTE, NC 28260-1549
(704) 384-4239
(704) 384-5636
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8000218
—
NC
05
—
NPA843
—
SC
Enumeration date
02/07/2006
Last updated
07/30/2013
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