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Individual
SUSAN RAE GILMER
Active
Individual
SUSAN RAE GILMER
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
AP103393
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109948301
—
TX
05
—
109948304
—
TX
01
—
430027396
RR MEDICARE
TX
01
—
430027397
RAILROAD MEDICARE
TX
01
—
88603C
TX-BLUE SHIELD
—
Enumeration date
01/10/2007
Last updated
04/27/2020
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