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Individual

KALLIE CHAPMAN BERETTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-149837
AL
367500000X
Certified Registered Nurse Anesthetist
26463
SC
367500000X
Certified Registered Nurse Anesthetist
8423336
NV
367500000X
Certified Registered Nurse Anesthetist
APRN-195940
MT
367500000X
Certified Registered Nurse Anesthetist
RN2339414
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110164311A
MA
Enumeration date
04/14/2020
Last updated
06/17/2025
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