Healthcare Provider Details

I. General information

NPI: 1477963627
Provider Name (Legal Business Name): KARRI BRITTON WYNNE CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2014
Last Update Date: 09/20/2022
Certification Date: 09/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 S MCCASKEY RD
WILLIAMSTON NC
27892-2150
US

IV. Provider business mailing address

2080 W ARLINGTON BLVD STE B
GREENVILLE NC
27834-3770
US

V. Phone/Fax

Practice location:
  • Phone: 252-809-6300
  • Fax:
Mailing address:
  • Phone: 252-752-2140
  • Fax: 252-689-6502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number221679
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number102266
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number5030
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: