is a General Practice in , . practices all healthcare services and medical treatments related to General Practice. The NPI Number for is 1689785842. The last update date is .
's current location address is , , . You can contact this provider via phone number . The mailing address for is , , . To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | , , |
Phone Number | |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1689785842 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | |
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City | |
State | () |
Post Code | |
Phone Number | |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 163Wg0000X |
Licence No | 286952 |
Definition: A registered nurse who provides general nursing care across health settings. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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CRNA 27940 | CA | 27940 | |
NURSE ANESTHESI | CA | 673 | |
RN286952 | CA | 286952 |
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