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Individual

HOLLI B CORDELL

Active
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Individual

HOLLI B CORDELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
RN069981 AP05689
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN069981/AP05689
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1804011
LA
01
RN069981 AP05689
LA STATE LIC
LA
Enumeration date
09/17/2009
Last updated
04/15/2010
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