Individual
MRS. PAMELA SUE MURILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
145 KIMEL PARK DR, SUITE 120, WINSTON SALEM, NC 27103-6984
(336) 768-3212
(336) 768-9019
Mailing address
9509 LISSARA CAMP CT, LEWISVILLE, NC 27023-9831
(336) 408-9776
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
139043
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051022
—
NC
Enumeration date
12/02/2005
Last updated
03/30/2021
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