Individual
MARY JEAN FLOWERDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
662 KINGWOOD ST, FLORENCE, OR 97439-9305
(502) 212-9918
Mailing address
662 KINGWOOD ST, FLORENCE, OR 97439-9305
(502) 212-9918
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
087006819RN
OR
163W00000X
Registered Nurse
1033209
IN
163W00000X
Registered Nurse
28148234
IN
367500000X
Certified Registered Nurse Anesthetist
1637A
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
200460022CRNA
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74397498
—
IN
Enumeration date
09/06/2005
Last updated
07/03/2013
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