Individual
JULIE CROCKETT DALTON
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 18139, RALEIGH, NC 27619-8139
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
171900
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
1894
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8052363
—
NC
01
—
P00380368
RAILROAD-MEDICARE
NC
Enumeration date
02/05/2007
Last updated
07/28/2026
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