Individual
MISTI LEANN BERRONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3333 SILAS CREEK PARKWAY, WINSTON-SALEM, NC 27103
(336) 651-8100
(336) 277-9445
Mailing address
2085 FRONTIS PLAZA BOULEVARD, WINSTON-SALEM, NC 27103
(336) 277-1065
(336) 277-9274
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
081856
NC
Other
Enumeration date
11/10/2008
Last updated
03/09/2009
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