Healthcare Provider Details

I. General information

NPI: 1427506625
Provider Name (Legal Business Name): ESTHER CASSIDY CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ESTHER KURTZ CRNA

II. Dates (important events)

Enumeration Date: 09/15/2016
Last Update Date: 09/12/2023
Certification Date: 09/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 LAUCHWOOD DR
LAURINBURG NC
28352-5501
US

IV. Provider business mailing address

316 S 3RD ST
WILMINGTON NC
28401-4507
US

V. Phone/Fax

Practice location:
  • Phone: 910-291-7000
  • Fax:
Mailing address:
  • Phone: 707-227-2955
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number5562
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number235838
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: