Individual
MRS. JENNIFER C. MCELREATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-5645
Mailing address
PO BOX 535395, ATLANTA, GA 30353-5321
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
147028
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050687
—
NC
05
—
8052030
—
NC
05
—
NAN714
—
SC
01
—
Q37933A
MEDICARE RALEIGH ANESTHESIOLOGY PRACTICE
NC
Enumeration date
06/21/2006
Last updated
03/21/2012
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