Provider Demographics
NPI:1083674964
Name:PLAYER, DEVIN W (CRNA)
Entity Type:Individual
Prefix:MS
First Name:DEVIN
Middle Name:W
Last Name:PLAYER
Suffix:
Gender:F
Credentials:CRNA
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Mailing Address - Street 1:3100 SPRING FOREST RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-2880
Mailing Address - Country:US
Mailing Address - Phone:919-882-0705
Mailing Address - Fax:919-873-9821
Practice Address - Street 1:555 E CHEVES ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-2617
Practice Address - Country:US
Practice Address - Phone:843-661-6215
Practice Address - Fax:843-777-8705
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2016-12-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SCAPN1200367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCAN0707Medicaid
SCQ319431162Medicare PIN