Individual
JASON MAXWELL BOHRER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
947 BONANZA LN, MEBANE, NC 27302-9986
(609) 319-8069
Mailing address
947 BONANZA LN, MEBANE, NC 27302-9986
(609) 319-8069
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
T4F53XWI
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
7562
NC
Other
Enumeration date
10/03/2023
Last updated
01/02/2025
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