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NPI Code Detail

MEDICARE: DANIELLE SHARON MERNENKO CRNA

MEDICARE: DANIELLE SHARON MERNENKO CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist136229NC

General Provider Information

NPI Number : 1033870068
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE SHARON MERNENKO CRNA
Provider Business Mailing Address
First Line : 5802 SENTINEL DR
Second Line :
City : RALEIGH
State : NC
Zip : 27609-3508
Country : US
Telephone Number : 904-790-2902
Fax Number :
Provider Business Practice Location Address
First Line : 3000 NEW BERN AVE
Second Line :
City : RALEIGH
State : NC
Zip : 27610-1231
Country : US
Telephone Number : 919-350-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2022
Last Update Date : 03/09/2026

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