Individual
MRS. PEYTON DIANE ENGLERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2501 KENTUCKY AVE, PADUCAH, KY 42003-3813
(270) 575-2100
Mailing address
PO BOX 7289, PADUCAH, KY 42002-7289
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3014172
KY
Other
Enumeration date
01/14/2020
Last updated
02/03/2020
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