Organization
TRIANGLE CARE ANESTHESIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH PATRICK NICOLLERAT (OWNER)
(919) 280-6612
Entity
Organization
Contact information
Practice address
107 MALTLAND DR, CARY, NC 27518-9013
(919) 280-6612
Mailing address
107 MALTLAND DR, CARY, NC 27518-9013
(919) 280-6612
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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