Marianne L Waterhouse, CRNA | |
200 Hawthorne Lane, Charlotte, NC 28204 | |
(704) 384-4239 | |
(704) 384-5636 |
Full Name | Marianne L Waterhouse |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 200 Hawthorne Lane, Charlotte, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457318826 | NPI | - | NPPES |
NAN078 | Medicaid | SC | |
8050815 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 035807 (North Carolina) | Primary |
Entity Name | Providence Anesthesiology Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396739884 PECOS PAC ID: 3971566761 Enrollment ID: O20041111000930 |
Entity Name | Nmg Southpark Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952690109 PECOS PAC ID: 6901075977 Enrollment ID: O20110808000705 |
Mailing Address | Practice Location Address |
---|---|
Marianne L Waterhouse, CRNA 2700 Normandy Rd, Charlotte, NC 28209-1725 Ph: (704) 384-4239 | Marianne L Waterhouse, CRNA 200 Hawthorne Lane, Charlotte, NC 28204 Ph: (704) 384-4239 |
Welo Sylvie Olenga, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-384-4239 Fax: 704-384-5636 | |
Mr. Kevin E. West, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994 | |
Mrs. Colleen M. Ebner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994 | |
Mrs. Christine E. Jones, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994 | |
Meredith L Draper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000 | |
Alison Anne Woodruff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000 | |
Raven Danielle Lyles, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-384-4274 |