Kierstin K Church CRNA

NPI 1114946688 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1114946688
Gender Female
Enumeration Date 07/18/2006
Last Updated 04/03/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
1040 W GRAND AVE
APT. 208
PORTERVILLE CA, 93257-1904, US
Phone (207) 593-6496
Fax
Business Location
1040 W GRAND AVE
APT. 208
PORTERVILLE CA, 93257-1904, US
Phone (207) 593-6496
Fax
Toxanomy
Taxonomy Code 367500000X
License State Maine
License Number R053337
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According to our database, Miss Kierstin K Church CRNA NPI is 1114946688, taxonomy code is 367500000X and license number is R053337, license state is located at Maine. Kierstin K Church CRNA physically located at 1040 W Grand Ave, Porterville CA, 93257-1904. NPI Number Kierstin K Church CRNA has the Individual type.

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1114946688 NPI number is provided on an as is basis without warranty of any kind. 1114946688 is maintained by the National Plan & Provider Enumeration System. The contents of Kierstin K Church CRNA are for informational purposes only.