Individual provider · Type 1 NPI

Raven Danielle Lyles

Certified Registered Nurse Anesthetist · Charlotte, NC

NPI number 1013661230 Active

Practice location

200 Hawthorne Ln
Charlotte, NC 28204-2515

Mailing address

355 Old Spanish Trl
Jackson, MS 39212-3210

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X0024186691 (VA)
Registered Nurse 163W00000X904663 (MS)
Certified Registered Nurse Anesthetist 367500000X6828 (NC)

Certified Registered Nurse Anesthetist: (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 creden…

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About NPI 1013661230

Raven Danielle Lyles's National Provider Identifier is 1013661230, issued on Feb 7, 2022. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Charlotte, NC. The record was last updated on Mar 27, 2026.