Shirley A Jautz CRNA

NPI 1003007329 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1003007329
Gender Female
Enumeration Date 08/05/2007
Last Updated 04/09/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
221 PHYSICIANS PARK
POPLAR BLUFF MO, 63901-3956, US
Phone (573) 727-9080
Fax
Business Location
5983 US HIGHWAY 63
POMONA MO, 65789-9538, US
Phone (573) 686-5550
Fax (573) 686-2139
Toxanomy
Taxonomy Code 367500000X
License State Missouri
License Number 129615
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According to our database, Ms. Shirley A Jautz CRNA NPI is 1003007329, taxonomy code is 367500000X and license number is 129615, license state is located at Missouri. Shirley A Jautz CRNA physically located at 221 Physicians Park, Poplar Bluff MO, 63901-3956. NPI Number Shirley A Jautz CRNA has the Individual type.

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1003007329 NPI number is provided on an as is basis without warranty of any kind. 1003007329 is maintained by the National Plan & Provider Enumeration System. The contents of Shirley A Jautz CRNA are for informational purposes only.