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Kendra S Blackeagle, CRNA
Certified Registered Nurse Anesthetist in Concord, North Carolina
NPI 1801177621

Kendra S Blackeagle is a Certified Registered Nurse Anesthetist based in Concord, NC. Kendra S Blackeagle practices in Concord, NC and has the professional credentials of CRNA. The NPI Number for Kendra S Blackeagle is 1801177621 and holds a License No. 328087 (North Carolina).

The current practice location address for Kendra S Blackeagle is 920 Church St N, Concord, NC and can be reached out via phone at 704-403-2715 and via fax at 704-699-2453.

Location: 920 Church St N, Concord, NC, 28025-2927
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801177621
Provider Name
Kendra S Blackeagle
Credential
CRNA
Provider Entity Type
Individual
Gender
Female
Address
920 Church St N, Concord, NC, 28025-2927
Phone Number
704-403-2715
Fax Number
704-699-2453
Provider Enumeration Date
09/07/2011
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4704287475 01 MI MI LICENSE
1801177621 01 NC INDIVIDUAL
institution
Provider Business Practice Location Address Details
Address
920 Church St N
City
Concord
State
North Carolina
Zip
28025-2927
Phone Number
704-403-2715
Fax Number
704-699-2453
person
Provider Business Mailing Address Details
Address
920 Church St N
City
Concord
State
North Carolina
Zip
28025-2927
Phone Number
704-403-2715
Fax Number
704-699-2453
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
328087 (North Carolina)
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
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