Mccutchen, Phyllis Lamarr
Mccutchen, Phyllis Lamarr is an sole proprietor health care provider with primary practice located at Medical Center Boulevard , Winston Salem NC 27157-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Mccutchen, Phyllis Lamarr can be contacted via phone (336) 713-5360.Contact Information
Primary practice address
Medical Center Boulevard
Winston Salem NC 27157-0001
Phone: (336) 713-5360
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 072138 | North Carolina |
Profile Details
| NPI number | 1326096249 |
|---|---|
| LBN Legal business name | Mccutchen, Phyllis Lamarr |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2006 |
| Last updated | Jan 27th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326096249 | NPPES |
| North Carolina | MEDICAID | 8052113 | |
| North Carolina | Other | 090810 |
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