Healthcare Provider Details

I. General information

NPI: 1851562391
Provider Name (Legal Business Name): JUDITH E GALBRAITH CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2008
Last Update Date: 02/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 TILGHMAN DR
DUNN NC
28334-5510
US

IV. Provider business mailing address

PO BOX 2644
BIRMINGHAM AL
35202-2644
US

V. Phone/Fax

Practice location:
  • Phone: 910-892-1000
  • Fax:
Mailing address:
  • Phone: 888-245-5525
  • Fax: 717-653-8197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number041-317274
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: