Nichole Ashley Hollingsworth, CRNA | |
5921 Tahoe Dr, Durham, NC 27713-8628 | |
(949) 294-7076 | |
Not Available |
Full Name | Nichole Ashley Hollingsworth |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 5921 Tahoe Dr, Durham, 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 |
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1700456118 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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163W00000X | Registered Nurse | 325465 (North Carolina) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 7254 (North Carolina) | Primary |
Entity Name | Novant Health New Hanover Regional Medical Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750978839 PECOS PAC ID: 7113330168 Enrollment ID: O20210112000621 |
Mailing Address | Practice Location Address |
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Nichole Ashley Hollingsworth, CRNA 5921 Tahoe Dr, Durham, NC 27713-8628 Ph: (949) 294-7076 | Nichole Ashley Hollingsworth, CRNA 5921 Tahoe Dr, Durham, NC 27713-8628 Ph: (949) 294-7076 |
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Derrick Cephano Glymph, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2301 Erwin Rd, Durham, NC 27705 Phone: 919-684-8111 | |
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Hannah H Bost, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 508 Fulton St, Durham, NC 27705 Phone: 919-286-0411 | |
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