Lorraine Yvonne Desravines CRNA

NPI 1164715074 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1164715074
Gender Female
Enumeration Date 05/25/2011
Last Updated 12/14/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
7111 FAIRWAY DR
SUITE 202
PALM BEACH GARDENS FL, 33418-4204, US
Phone (561) 799-3552
Fax
Business Location
3381 CELEBRATION LN
MARGATE FL, 33063-8231, US
Phone (954) 415-1928
Fax
Toxanomy
Taxonomy Code 367500000X
License State Florida
License Number ARNP9254156
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According to our database, Mrs. Lorraine Yvonne Desravines CRNA NPI is 1164715074, taxonomy code is 367500000X and license number is ARNP9254156, license state is located at Florida. Lorraine Yvonne Desravines CRNA physically located at 7111 Fairway Dr, Palm Beach Gardens FL, 33418-4204. NPI Number Lorraine Yvonne Desravines CRNA has the Individual type.

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1164715074 NPI number is provided on an as is basis without warranty of any kind. 1164715074 is maintained by the National Plan & Provider Enumeration System. The contents of Lorraine Yvonne Desravines CRNA are for informational purposes only.