Individual
ELIZABETH RAE WANZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1144 N ROAD ST, ELIZABETH CITY, NC 27909-3353
(252) 335-0531
(252) 384-4871
Mailing address
307 W CHURCH ST, ELIZABETH CITY, NC 27909-4719
(252) 335-0531
(252) 384-4871
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
049565
NC
Other
Enumeration date
05/17/2006
Last updated
09/15/2015
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