Basic Information
| Provider Information | |||||||||
| NPI: | 1215034160 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHLENK | ||||||||
| FirstName: | MARIE | ||||||||
| MiddleName: | E | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | CRNA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 68 HOSPITAL RD | ||||||||
| Address2: | |||||||||
| City: | SYLVA | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287792722 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8285867000 | ||||||||
| FaxNumber: | 8285867449 | ||||||||
| Practice Location | |||||||||
| Address1: | 68 HOSPITAL RD | ||||||||
| Address2: | |||||||||
| City: | SYLVA | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287792722 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286311725 | ||||||||
| FaxNumber: | 8285867449 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/20/2006 | ||||||||
| LastUpdateDate: | 02/20/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | 173226 | NC | Y | Hospitals | General Acute Care Hospital |
ID Information
| ID | Type | State | Issuer | Description | 2604828A | 01 | NC | PROVIDER NO CIGNA | OTHER | 430080340 | 01 | NC | SWAIN RR | OTHER | 235131E | 01 | NC | SWAIN CRNA | OTHER | 430080339 | 01 | NC | HARRIS RR | OTHER | 260557 | 01 | NC | HRH CIGNA | OTHER | 8000180 | 01 | NC | HRH CRNA EDS | OTHER | 8000315 | 01 | NC | SWAIN CRNA EDS | OTHER |