Provider Demographics
NPI:1215034160
Name:SCHLENK, MARIE E (CRNA)
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:E
Last Name:SCHLENK
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 HOSPITAL RD
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-2722
Mailing Address - Country:US
Mailing Address - Phone:828-586-7000
Mailing Address - Fax:828-586-7449
Practice Address - Street 1:68 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-2722
Practice Address - Country:US
Practice Address - Phone:828-631-1725
Practice Address - Fax:828-586-7449
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2012-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC173226282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2604828AOtherPROVIDER NO CIGNA
NC430080340OtherSWAIN RR
NC235131EOtherSWAIN CRNA
NC430080339OtherHARRIS RR
NC260557OtherHRH CIGNA
NC8000180OtherHRH CRNA EDS
NC8000315OtherSWAIN CRNA EDS