Jessica Lynn Vanderlist CRNA

NPI 1356457055 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1356457055
Gender Female
Enumeration Date 08/23/2006
Last Updated 03/28/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
401 W GREENLAWN AVE
LANSING MI, 48910-2819, US
Phone (517) 975-7295
Fax
Business Location
311 OXFORD RD
EAST LANSING MI, 48823-2628, US
Phone (517) 402-3773
Fax
Toxanomy
Taxonomy Code 367500000X
License State Michigan
License Number 4704221454
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According to our database, Mrs. Jessica Lynn Vanderlist CRNA NPI is 1356457055, taxonomy code is 367500000X and license number is 4704221454, license state is located at Michigan. Jessica Lynn Vanderlist CRNA physically located at 401 W Greenlawn Ave, Lansing MI, 48910-2819. NPI Number Jessica Lynn Vanderlist CRNA has the Individual type.

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1356457055 NPI number is provided on an as is basis without warranty of any kind. 1356457055 is maintained by the National Plan & Provider Enumeration System. The contents of Jessica Lynn Vanderlist CRNA are for informational purposes only.