Individual
MRS. LUANNE M. PATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-8983
(704) 355-8994
Mailing address
4400 GOLF ACRES DRIVE, SUITE A, CHARLOTTE, NC 28208-5906
(704) 512-6428
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
94484
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050174
—
NC
05
—
NAN692
—
SC
Enumeration date
08/13/2006
Last updated
07/31/2017
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