Individual
GARRET MYHAN
Active
Individual
GARRET MYHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C01576 CRNA
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159362001
—
AR
05
—
200740450A
—
OK
01
—
5Y545
BLUE CROSS BLUE SHIELD
AR
05
—
910053985
—
MO
01
—
P00273455
RR MEDICARE GRP# CD7786
AR
01
—
P02314757
RAILROAD
AR
Enumeration date
05/28/2006
Last updated
06/18/2021
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