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Individual
TERI JANELLE HEFNER
Active
Individual
TERI JANELLE HEFNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
565419
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045889
AANA RECERTIFICATION
TX
01
—
82353U
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
02/02/2006
Last updated
07/08/2007
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