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Individual
MS. PRISCILLA ANN BARDWELL
Active
Individual
MS. PRISCILLA ANN BARDWELL
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
551488
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172056702
—
TX
05
—
172056706
—
TX
01
—
85013U
BCBS
TX
01
—
897986
BCBS
TX
01
—
89869U
BCBS
TX
Enumeration date
12/28/2005
Last updated
09/28/2023
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