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Individual

DOROTHY LEE SUMMERLIN- GRADY

Active
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Individual

DOROTHY LEE SUMMERLIN- GRADY

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
28151003C
IN
367500000X
Certified Registered Nurse Anesthetist
303499
OH
367500000X
Certified Registered Nurse Anesthetist
3420422
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200425840
IN
05
2436813
OH
Enumeration date
05/19/2006
Last updated
02/05/2026
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