Penneye Holder CRNA

NPI 1063492023 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1063492023
Gender Female
Enumeration Date 01/18/2006
Last Updated 04/11/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
499 AZALEA DR
OXFORD MS, 38655-7901, US
Phone (662) 234-7979
Fax (334) 244-1830
Business Location
PO BOX 3488
DEPT 05-003
TUPELO MS, 38803-3488, US
Phone (662) 234-7979
Fax (334) 244-1830
Toxanomy
Taxonomy Code 367500000X
License State Mississippi
License Number R649112
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According to our database, Penneye Holder CRNA NPI is 1063492023, taxonomy code is 367500000X and license number is R649112, license state is located at Mississippi. Penneye Holder CRNA physically located at 499 Azalea Dr, Oxford MS, 38655-7901. NPI Number Penneye Holder CRNA has the Individual type.

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1063492023 NPI number is provided on an as is basis without warranty of any kind. 1063492023 is maintained by the National Plan & Provider Enumeration System. The contents of Penneye Holder CRNA are for informational purposes only.