Individual
SARAH KATHERINE MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
625 E BROADWAY AVE, JACKSON, WY 83001-8642
(307) 733-3636
(888) 329-5701
Mailing address
PO BOX 428, JACKSON, WY 83001-0428
(307) 739-7218
(307) 739-7446
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
34305.1348
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138915700
—
WY
Enumeration date
02/06/2009
Last updated
02/15/2021
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