Irsa Wood Jackson CRNA

NPI 1992807952 - General Acute Care Hospital - 282NR1301X

NPI Details
NPI 1992807952
Gender Female
Enumeration Date 09/01/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
12 WILLOW BROOK DR
SAINT LOUIS MO, 63146-5678, US
Phone (314) 994-9473
Fax
Business Location
PO BOX 460553
SAINT LOUIS MO, 63146-7553, US
Phone (214) 994-9473
Fax (314) 395-7900
Toxanomy
Taxonomy Code 282NR1301X
License State Missouri
License Number RN#44192
Remove 1992807952 NPI Number
 

According to our database, Ms. Irsa Wood Jackson CRNA NPI is 1992807952, taxonomy code is 282NR1301X and license number is RN#44192, license state is located at Missouri. Irsa Wood Jackson CRNA physically located at 12 Willow Brook Dr, Saint Louis MO, 63146-5678. NPI Number Irsa Wood Jackson CRNA has the Individual type.

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1992807952 NPI number is provided on an as is basis without warranty of any kind. 1992807952 is maintained by the National Plan & Provider Enumeration System. The contents of Irsa Wood Jackson CRNA are for informational purposes only.