Tuck, Delores Ann

Tuck, Delores Ann is an individual health care provider with primary practice located at 6300 Creedmoor Rd Suite 170, Raleigh NC 27612-6730. 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. Tuck, Delores Ann can be contacted via phone (919) 906-4721.

Contact Information

Primary practice address
6300 Creedmoor Rd Suite 170 Raleigh NC 27612-6730
Phone: (919) 906-4721
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 102920 North Carolina

Profile Details

NPI number 1124079504
LBN Legal business name Tuck, Delores Ann
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated May 17th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124079504 NPPES
North Carolina MEDICAID 8050545

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