Provider Demographics
NPI:1639686876
Name:PERRY, TRESSIE SHEKINAS (CRNA)
Entity type:Individual
Prefix:DR
First Name:TRESSIE
Middle Name:SHEKINAS
Last Name:PERRY
Suffix:
Gender:
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3434-135 KILDAIRE FARM RD
Mailing Address - Street 2:#797
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-6705
Mailing Address - Country:US
Mailing Address - Phone:502-298-7771
Mailing Address - Fax:
Practice Address - Street 1:DUMC 3094, HAFS BUILDING ROOM 6670
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-0001
Practice Address - Country:US
Practice Address - Phone:919-668-0289
Practice Address - Fax:919-668-4776
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-09
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001229027163W00000X
NC302365163WC0200X
NC118725367500000X
NY923339367500000X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered