Individual
KAITLYN EMILY BAZEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(919) 966-5136
Mailing address
9 COACH TER, DURHAM, NC 27713-6094
(828) 777-7732
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
243473
NC
Other
Enumeration date
07/03/2017
Last updated
02/19/2024
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