Individual provider · Type 1 NPI

Mary K. Leavery, CRNA

Certified Registered Nurse Anesthetist · Winston Salem, NC

NPI number 1063520005 Active

Practice location

145 Kimel Park Dr Ste 120
Winston Salem, NC 27103

Call (336) 768-3212 Map

Fax (336) 768-9019

Other practice locations

830 Washington St, Watertown, NY 13601-4034 · (315) 785-4313
830 Washington St, Watertown, NY 13601-4034 · (315) 785-4313

Specialties and licenses

Taxonomy	Code	License
Certified Registered Nurse Anesthetist	367500000X	993 (SC)
Certified Registered Nurse Anesthetist Primary	367500000X	45453 (NC)
Registered Nurse	163W00000X	360053-1 (NY)

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 1063520005

Mary K. Leavery, CRNA's National Provider Identifier is 1063520005, issued on Aug 29, 2006. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Winston Salem, NC. The record was last updated on Oct 28, 2020.