Individual
ANNA ABERNATHY MANECLANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
196820
TN
367500000X
Certified Registered Nurse Anesthetist
26196
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
C-APN.0100294-C-CRNA
CO
Other
Enumeration date
07/03/2019
Last updated
02/02/2023
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