Provider Demographics
NPI:1184815805
Name:GREEN, MARYANN DALY (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:MARYANN
Middle Name:DALY
Last Name:GREEN
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Gender:F
Credentials:CRNA
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Mailing Address - Street 1:401 FERNDALE BLVD
Mailing Address - Street 2:CAROLINA ANESTHESIOLOGY PA
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-4739
Mailing Address - Country:US
Mailing Address - Phone:336-882-2567
Mailing Address - Fax:336-882-5466
Practice Address - Street 1:401 FERNDALE BLVD
Practice Address - Street 2:CAROLINA ANESTHESIOLOGY PA
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-4739
Practice Address - Country:US
Practice Address - Phone:336-882-2567
Practice Address - Fax:336-882-5466
Is Sole Proprietor?:No
Enumeration Date:2007-08-07
Last Update Date:2007-08-07
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Provider Licenses
StateLicense IDTaxonomies
NC054218367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered