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Contact Information

CAROLINE REVELL
3643 N ROXBORO ST
DURHAM, NC27704
 Phone: 919-479-6193
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for CAROLINE REVELL · (Female)

NPI # 1487166930
Status Active
Credentials
Entity Individual
Enumeration date 10/24/2017
Last updated 05/07/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • FL License # 11008232
  • NC License # 266819
Hospital affiliation(s)
  • CAPITAL REGIONAL MEDICAL CENTER - (Acute Care)
    2626 CAPITAL MEDICAL BLVD
    TALLAHASSEE, FL 32308
  • TALLAHASSEE MEMORIAL HEALTHCARE - (Acute Care)
    1300 MICCOSUKEE RD
    TALLAHASSEE, FL 32308
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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