Individual
MARY JANE SCHMELTZ
Active
Individual
MARY JANE SCHMELTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
128484
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128484
CO LICENSE
CO
05
—
91621330
—
CO
Enumeration date
12/08/2010
Last updated
08/07/2012
Update your record
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