Individual
MARILOU GRAINGER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
901 E 5TH ST, WASHINGTON, MO 63090-3127
(636) 239-8000
Mailing address
85 TERRACE LN, WASHINGTON, MO 63090-6203
(636) 239-8000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
080485
MO
Other
Enumeration date
01/27/2006
Last updated
07/08/2007
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