Paul Derek Street, CRNA
NPI #1003136862 in Greenville, South Carolina
Provider Information
- NPI Number
- 1003136862
- Entity Type
- Individual
- Name
- Paul Derek Street, CRNA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Jun 3, 2010
- Last Updated
- Jan 28, 2022
Practice Location
- Address
- 7 INDEPENDENCE PT STE 300
- City
- Greenville
- State
- South Carolina
- ZIP Code
- 29615-4569
- Phone
- (864) 522-3700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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