Individual
DANA G HALBROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-1000
Mailing address
PO BOX 3011, GILLETTE, WY 82717-3011
(307) 688-1000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1-090168
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
45283
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051527419
—
AL
01
—
51527419
BCBS #
AL
Enumeration date
07/21/2006
Last updated
10/14/2020
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