Individual
MRS. MICHELLE COUNTOURIOTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2817 REILLY ROAD MCXC-COD CREDENTIALS, WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-7324
(910) 907-8922
(910) 907-6069
Mailing address
2817 REILLY ST, WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-7324
(910) 907-8922
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN 105999
AZ
Other
Enumeration date
02/12/2013
Last updated
02/12/2013
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