Individual
TYESHA HARVEY NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2525 COURT DR, GASTONIA, NC 28054-2140
(704) 834-2000
Mailing address
10 3RD AVE NE STE 200, HICKORY, NC 28601-5044
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5010614
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
7527
NC
Other
Enumeration date
06/18/2018
Last updated
10/16/2024
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