Individual
NANCY JO REMBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
418 N MAIN ST, PENN YAN, NY 14527-1070
(315) 531-2533
Mailing address
2799 KNAPP RD, DUNDEE, NY 14837-9730
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
520633
NY
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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