Individual
COURTNEY E HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(919) 384-0700
Mailing address
2407 WABASH RD, CHAPEL HILL, NC 27516-5830
(704) 789-3133
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
006891
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006891
NC BOARD OF NURSING CRNA
NC
01
—
141135
NBCRNA
—
01
—
295341
NC BOARD OF NURSING RN
NC
Enumeration date
06/04/2021
Last updated
06/01/2022
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