Individual
TYSON RUTLEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2000 NEUSE BLVD, NEW BERN, NC 28560-3449
(252) 633-8640
(252) 636-5376
Mailing address
2000 NEUSE BLVD, NEW BERN, NC 28560-3449
(252) 633-8640
(252) 636-5376
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
210166
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8000311
—
NC
Enumeration date
09/29/2011
Last updated
09/29/2011
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