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Individual

MRS. PAMELA KAYE EMERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA, MSN

Contact information

Practice address
WAKE FOREST UNIVERSITY BAPTIST MEDICAL CTR, MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 225-4413
Mailing address
PO BOX 751730, WAKE FOREST UNIVERSITY BAPTIST MEDICAL CTR, CHARLOTTE, NC 28275-0001
(336) 225-4413

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
44164
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1841274719
RALIROAD # P00249127
NC
05
8049928
NC
Enumeration date
12/02/2005
Last updated
08/18/2009
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