Mcclellan, Karyl Heritage

Mcclellan, Karyl Heritage is an individual health care provider with primary practice located at 1025 Northeast Gateway Ct, Ne , Concord NC 28025. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Mcclellan, Karyl Heritage can be contacted via phone (704) 920-7020.

Contact Information

Primary practice address
1025 Northeast Gateway Ct, Ne Concord NC 28025
Phone: (704) 920-7020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 034284 North Carolina

Profile Details

NPI number 1962451385
LBN Legal business name Mcclellan, Karyl Heritage
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962451385 NPPES
North Carolina MEDICAID 8050798
North Carolina MEDICAID NAN075

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