Individual
ALLEN P MUSHETT
Active
Individual
ALLEN P MUSHETT
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
28126868A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000297276
BLUE CROSS
IN
05
—
200412680A
—
IN
Enumeration date
11/07/2006
Last updated
11/06/2008
Update your record
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