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Individual
STEPHANIE EDGAR LARMER
Active
Individual
STEPHANIE EDGAR LARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
114513
OK
367500000X
Certified Registered Nurse Anesthetist
687462
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA1371
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179875301
—
TX
05
—
179875302
—
TX
01
—
483504
CALIFORNIA LICENSE
CA
01
—
86407U
BCBS
TX
01
—
P00428304
RAILROAD
TX
Enumeration date
06/06/2006
Last updated
05/23/2017
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