Individual
GERTRUDE F NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6906 E EXETER BLVD, SCOTTSDALE, AZ 85251-2330
(239) 000-0000
Mailing address
6906 E EXETER BLVD, SCOTTSDALE, AZ 85251-2330
(239) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9184251
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304190500
—
FL
01
—
430070446
MCRR
FL
01
—
G2986
BSFL
FL
01
—
G2986Z
MCR
FL
Enumeration date
10/26/2005
Last updated
03/28/2013
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