Individual
LUCINDA MOODY CHREITZBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8800 N TRYON ST, CHARLOTTE, NC 28262-3300
(704) 863-5665
(704) 863-5848
Mailing address
PO BOX 560727, ANESTHESIA DEPARTMENT, CHARLOTTE, NC 28256-0727
(704) 863-5665
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
86604
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
086604
RN LICENCE
NC
01
—
41535
AANA LICENCE
—
05
—
8050616
—
NC
05
—
NAN425
—
SC
Enumeration date
06/08/2006
Last updated
07/06/2017
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