Individual
ELIZABETH ANN PELLETIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
260 HOSPITAL DR, BREVARD, NC 28712-3378
(828) 883-5286
(828) 883-5393
Mailing address
PO BOX 602373, CHARLOTTE, NC 28260-2373
(828) 213-1500
(828) 651-6570
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
172424
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q49714A
MEDICARE PTAN
NC
Enumeration date
06/11/2006
Last updated
11/04/2016
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