Individual
MEREDITH LEIGH HNILICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
145 KIMEL PARK DR STE 120, WINSTON SALEM, NC 27103
(336) 768-3212
Mailing address
PO BOX 18139, RALEIGH, NC 27619-8139
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
165574
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8052116
—
NC
01
—
P00214182
RAILROAD-MEDICARE
NC
Enumeration date
01/31/2007
Last updated
10/28/2020
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