Individual
GINA BETH SCULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 BOWLING GREEN TRL, RALEIGH, NC 27613-6280
(919) 500-9982
Mailing address
2000 BOWLING GREEN TRL, RALEIGH, NC 27613-6280
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
242063
NC
163W00000X
Registered Nurse
641114
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
4373
NC
Other
Enumeration date
09/23/2010
Last updated
09/01/2023
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