Individual
DANA L RIX-CROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2 S HOSPITAL DR, MURPHYSBORO, IL 62966-3333
(618) 684-3156
(618) 529-0529
Mailing address
1239 E MAIN ST, CARBONDALE, IL 62901-3175
(618) 684-3156
(618) 529-0529
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041235918
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209008062
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214881
NGS GROUP PTAN
IL
Enumeration date
01/26/2010
Last updated
06/08/2021
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