Organization
JANE B PARKER CRNA LLC
Active
Organization
JANE B PARKER CRNA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE B PARKER CRNA (OWNER)
(574) 268-9640
Entity
Organization
Contact information
Practice address
9002 N MERIDIAN ST, INDIANAPOLIS, IN 46260-5381
(574) 268-9640
(574) 268-0684
Mailing address
PO BOX 1296, WARSAW, IN 46581-1296
(574) 268-9640
(574) 268-0684
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28083465A
IN
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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