is a Nurse Anesthetist, Certified Registered in , . practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for is 1114077203. 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
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| Address | , , |
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| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1114077203 |
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Provider Mailing Address Detail
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| State | () |
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Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
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| Taxonomy | 367500000X |
| Licence No | 548915 |
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Definition: (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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 109926908 | TX | -- | |
| 109926909 | TX | -- | |
| 81891U | TX | BCBS OF TEXAS |
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