Deanna Mary Gish CRNA

NPI 1639409394 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1639409394
Gender Female
Enumeration Date 12/31/2009
Last Updated 11/28/2012
Entity Type Individual
Active Over 6 years ago
Practice Location
1235 E CHEROKEE ST
SPRINGFIELD MO, 65804-2203, US
Phone (417) 820-2829
Fax (417) 820-8852
Business Location
PO BOX 2580
SPRINGFIELD MO, 65801-2580, US
Phone (417) 829-4620
Fax
Toxanomy
Taxonomy Code 367500000X
License State Arkansas
License Number CTP-000120
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According to our database, Deanna Mary Gish CRNA NPI is 1639409394, taxonomy code is 367500000X and license number is CTP-000120, license state is located at Arkansas. Deanna Mary Gish CRNA physically located at 1235 E Cherokee St, Springfield MO, 65804-2203. NPI Number Deanna Mary Gish CRNA has the Individual type.

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1639409394 NPI number is provided on an as is basis without warranty of any kind. 1639409394 is maintained by the National Plan & Provider Enumeration System. The contents of Deanna Mary Gish CRNA are for informational purposes only.