Individual
MARANDA BOYER
Active
Individual
MARANDA BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R64372
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
C02851
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5V382
AR BC/BS
AR
Enumeration date
12/03/2010
Last updated
11/04/2013
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