Individual
IAN URBAITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-4000
Mailing address
3143 LEICESTER DR, MATTHEWS, NC 28104-3187
(704) 301-0464
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
134256
NC
Other
Enumeration date
03/03/2019
Last updated
04/21/2022
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