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Individual

DR. MIKAELA VAN DER MEYDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1010 COLLEGE ST, OXFORD, NC 27565-2507
(919) 690-3000
Mailing address
2767 GREGORY CT, CREEDMOOR, NC 27522-7121
(918) 520-8658

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
117179
OK
163W00000X
Registered Nurse
363924
NC
367500000X
Certified Registered Nurse Anesthetist
0024182630
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
7260
NC

Other

Enumeration date
06/28/2021
Last updated
01/08/2024
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