Individual
MR. BRYAN ALOYSIUS CARRICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
622 EYAM HALL LN, APEX, NC 27502-4760
(786) 797-9911
(919) 578-1511
Mailing address
622 EYAM HALL LN, APEX, NC 27502-4760
(786) 797-9911
(919) 578-1511
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
217589
NC
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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