MEDICARE: JOSEPH A JOYCE 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
1	367500000X	Certified Registered Nurse Anesthetist	082827	NC

General Provider Information

NPI Number	:	1518938257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH A JOYCE CRNA

Provider Business Mailing Address
First Line	:	1010 WESTMINSTER DR
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27410-4648
Country	:	US
Telephone Number	:	336-852-5605
Fax Number	:	336-832-8272

Provider Business Practice Location Address
First Line	:	501 N ELAM AVE
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27403-1118
Country	:	US
Telephone Number	:	336-832-1932
Fax Number	:	336-832-1917

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2006
Last Update Date	:	07/08/2007

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