Individual
DR. CHARLOTTE BLAUERT REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA, DNP
Contact information
Practice address
1 ST. MARKS PLACE, LA GRANGE, TX 78945
(979) 242-2200
Mailing address
PO BOX 388, NEWTON, KS 67114-0388
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
699837
TX
Other
Enumeration date
06/29/2007
Last updated
03/10/2015
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