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Individual

ROSE ANN M SHRUM

Active
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Individual

ROSE ANN M SHRUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024175595
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
2003014812
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100642920A
KS
05
200012970A
OK
05
919010702
MO
01
P00041618
RR MEDICARE
Enumeration date
06/19/2006
Last updated
12/18/2024
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