Individual
MRS. BONNIE ANGUS DOUBLEDAY
Active
Individual
MRS. BONNIE ANGUS DOUBLEDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN025068
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP01600
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1959162
—
LA
01
—
P00391825
RAILROAD MEDICARE
GA
Enumeration date
04/17/2007
Last updated
11/17/2007
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