Individual
MS. ANGELA LUCILLE MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8800 N TRYON ST, CHARLOTTE, NC 28262-3300
(704) 863-5665
(704) 863-5848
Mailing address
4400 GOLF ACRES DRIVE, SUITE A, CHARLOTTE, NC 28208-5906
(704) 512-6428
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
122347
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122347
RN LICENSE
NC
01
—
47585
AANA-LICENSE
NC
05
—
8051407
—
NC
05
—
NAN405
—
SC
Enumeration date
07/12/2006
Last updated
07/25/2017
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