Individual
MONICA L FIRME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1525 W 5TH ST, STORM LAKE, IA 50588-3027
(712) 732-4455
Mailing address
1210 W 6TH ST, STORM LAKE, IA 50588-2910
(573) 686-5550
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
102625
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03665
IA BCBS
IA
01
—
076512
CERTIFICATION
IA
05
—
1396957395
—
IA
Enumeration date
05/04/2007
Last updated
10/12/2016
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