Individual
EDGARDO JOSE VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3034
Mailing address
PO BOX 535395, ATLANTA, GA 30353-5321
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
168576
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430053149
RAILROAD-MEDICARE
NC
05
—
8051273
—
NC
Enumeration date
01/25/2007
Last updated
04/15/2026
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