Individual
DONNA BRICKHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5200 N CROATAN HWY, KITTY HAWK, NC 27949-3990
(252) 261-9211
(252) 261-4329
Mailing address
5200 N CROATAN HWY, KITTY HAWK, NC 27949-3990
(252) 261-9211
(252) 261-4329
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
101925
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183751
MEDCOST
NC
05
—
8051453
—
NC
Enumeration date
02/13/2006
Last updated
07/08/2010
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