NPI 1093368086

Edelrose Fortea Bacanto, CRNA

Practitioner Certified Registered Nurse Anesthetist Fayetteville, NC

Practice location

Address: 1638 Owen Dr, Fayetteville, NC 28304-3424
Phone: (805) 509-7556
Mailing address: 2629 Edmonton Rd, Fayetteville, NC 28304-3768

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 6389 (NC)

Other Nurse Anesthetist, Certified Registered providers in North Carolina →

Registry record

NPI: 1093368086
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jul 2019
Record last updated: 13 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.