Individual
STEPHANIE MARIE DULIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1775 THOMPSON RD, COOS BAY, OR 97420-2125
(541) 269-8111
Mailing address
1775 THOMPSON RD, COOS BAY, OR 97420-2125
(541) 269-8111
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041330442
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
202001122CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
209-007324
IL
367500000X
Certified Registered Nurse Anesthetist
209007324
IL
Other
Enumeration date
03/17/2008
Last updated
05/09/2024
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