Individual
MS. ROBERTA WHITE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
ERWIN ROAD, DURHAM, NC 27710-0001
(919) 684-3595
Mailing address
249 OVERLOOK DR, ROANOKE RAPIDS, NC 27870-8823
(252) 537-9928
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
036651
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051303
—
NC
Enumeration date
08/16/2006
Last updated
03/25/2008
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