Individual
MICHELLE MIDTHUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1900 KILDAIRE FARM RD, CARY, NC 27518-6616
(919) 350-8000
Mailing address
2105 BANYON GROVE LOOP, CARY, NC 27513-3937
(954) 610-8686
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
282299
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
5369
NC
Other
Enumeration date
10/07/2015
Last updated
02/02/2016
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