Individual
RYAN CHRISTOPHER LOWTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
959 VAN GERT DR, WINTERVILLE, NC 28590-7914
(606) 939-0078
Mailing address
959 VAN GERT DR, WINTERVILLE, NC 28590-7914
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
228719
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
228719
ND
367500000X
Certified Registered Nurse Anesthetist
84981
WV
Other
Enumeration date
03/29/2011
Last updated
01/21/2019
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