Individual
MARY BOADU
Active
Individual
MARY BOADU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
143527
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
R235350
MD
367500000X
Certified Registered Nurse Anesthetist
RN696663
PA
Other
Enumeration date
12/19/2022
Last updated
06/13/2025
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