Individual
MARY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
60 EAST ST, SUITE 1400 LOWE II ANESTHESIOLOGY SERVICE INC, METHUEN, MA 01844
(978) 689-4601
(603) 882-0556
Mailing address
60 EAST ST, SUITE 1400 LOWE II ANESTHESIOLOGY SERVICE INC, METHUEN, MA 01844
(978) 689-4601
(603) 882-0556
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
030669-21
NH
367500000X
Certified Registered Nurse Anesthetist
136711
MA
Other
Enumeration date
07/18/2005
Last updated
07/15/2008
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