Individual
BRITLEY ANN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
405 W JACKSON ST, SIH MEDICAL GROUP ANESTHESIOLOGY, CARBONDALE, IL 62901
(618) 549-0721
(618) 529-0529
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 549-0721
(618) 529-0449
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
114636
IL
367500000X
Certified Registered Nurse Anesthetist
209016742
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214881
MULTISPECIALTY GROUP PTAN
IL
Enumeration date
10/02/2017
Last updated
01/27/2023
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