Individual
MICHAEL THOMAS PLEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(800) 821-1535
Mailing address
6126 HEATH RIDGE CT UNIT C, CHARLOTTE, NC 28210-7127
(304) 312-4227
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
382315
NC
367500000X
Certified Registered Nurse Anesthetist
144037
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
7163
NC
Other
Enumeration date
07/08/2021
Last updated
10/24/2024
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