Provider Demographics
NPI:1255151346
Name:COMISKEY, KARIS ROSE (CRNA)
Entity type:Individual
Prefix:
First Name:KARIS
Middle Name:ROSE
Last Name:COMISKEY
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:KARIS
Other - Middle Name:ROSE
Other - Last Name:LAURITO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:155 MEMORIAL DRIVE
Mailing Address - Street 2:PO BOX 3000
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28374
Mailing Address - Country:US
Mailing Address - Phone:910-715-1010
Mailing Address - Fax:910-235-7913
Practice Address - Street 1:155 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374-8710
Practice Address - Country:US
Practice Address - Phone:910-715-1010
Practice Address - Fax:910-235-7913
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-14
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7672367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered