Individual
MARY A CLAUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2 COLUMBIA DR, SUITE A327, TAMPA, FL 33606-3508
(813) 844-4434
Mailing address
2 COLUMBIA DR, SUITE A327, TAMPA, FL 33606-3508
(813) 844-4434
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1556972
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305703800
—
FL
01
—
G3369
BCBS
FL
Enumeration date
05/16/2006
Last updated
03/03/2008
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