MARY K LEAVERY

WINSTON SALEM, NC
NPI1063520005
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NC  45453)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: SC  993)
163W00000X Registered Nurse
(Licence: NY  360053-1)
Enumeration Date2006-08-29
Last Update Date2020-10-28
Business Address
MARY K LEAVERY CRNA
145 KIMEL PARK DR STE 120
WINSTON SALEM, NC 27103
Phone number: 336-768-3212
Mailing Address
MARY K LEAVERY CRNA
145 KIMEL PARK DR STE 120
WINSTON SALEM, NC 27103-6983
Phone number: 336-768-3212
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