Provider Demographics
NPI:1942315593
Name:PRIBISKO, ALAINE LESLIE (CRNA)
Entity Type:Individual
Prefix:
First Name:ALAINE
Middle Name:LESLIE
Last Name:PRIBISKO
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 BAITY HILL DR
Mailing Address - Street 2:UNIT 311
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-3957
Mailing Address - Country:US
Mailing Address - Phone:704-560-6285
Mailing Address - Fax:919-914-6148
Practice Address - Street 1:DUKE MEDICINE
Practice Address - Street 2:ERWIN ROAD
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-0001
Practice Address - Country:US
Practice Address - Phone:919-684-3895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC35469367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC260194EMedicare PIN