Individual
MS. MARY EPPS ELLINGWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
616 FAIRFAX RD W, MOBILE, AL 36608-2930
(251) 342-3799
Mailing address
616 FAIRFAX RD W, MOBILE, AL 36608-2930
(251) 342-3799
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-100649
AL
367500000X
Certified Registered Nurse Anesthetist
177937
OH
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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