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Individual

SUZANNE TANCOCK ADALSTEINSSON

Active
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Individual

SUZANNE TANCOCK ADALSTEINSSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
054282
TX
367500000X
Certified Registered Nurse Anesthetist
AP113170
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
168523207
TX
01
168523208
CSHCN MEDICAID
TX
01
88430U
BCBS
TX
Enumeration date
01/19/2007
Last updated
01/19/2022
About Stedi
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