Individual
ALEKSANDRA PROVIDENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
673499
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
115674
WV
Other
Enumeration date
12/02/2022
Last updated
02/14/2023
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