Individual
CATHERINE PARKS CHANTRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(336) 682-1376
Mailing address
103 CLIMBING ARCH CT, LILLINGTON, NC 27546-6897
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
230464
NC
367500000X
Certified Registered Nurse Anesthetist
138642
NC
Other
Enumeration date
03/19/2020
Last updated
12/04/2022
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