Individual
MRS. IRENE A ST PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4814 WILLES VISION DR, BOWIE, MD 20720-4671
(973) 666-1404
Mailing address
4814 WILLES VISION DR, BOWIE, MD 20720-4671
(973) 666-1404
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
0001405
DE
367500000X
Certified Registered Nurse Anesthetist
Primary
3808
CT
Other
Enumeration date
07/26/2007
Last updated
04/30/2012
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