Individual
YEJIN MISHOULAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
237 MAGNOLIA WAY, ASHEVILLE, NC 28806-8466
(828) 606-0182
Mailing address
50 SCHENCK PKWY, ASHEVILLE, NC 28803-3499
(828) 681-1527
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
246294
NC
367500000X
Certified Registered Nurse Anesthetist
117156
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
5657
NC
Other
Enumeration date
02/21/2017
Last updated
01/07/2022
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