Individual
ALLETHAIRE MEDLICOTT RENNINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3400 WAKE FOREST RD, RALEIGH, NC 27609-7317
(919) 954-3000
Mailing address
3400 WAKE FOREST RD, RALEIGH, NC 27609-7317
(919) 954-3000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
221409
NC
Other
Enumeration date
07/06/2012
Last updated
08/26/2013
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