Individual
NATHAN LANCE NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
330 N BROAD ST, FOREST, MS 39074-3508
(601) 469-4151
Mailing address
330 N BROAD ST, FOREST, MS 39074-3508
(601) 469-4151
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R871642
MS
Other
Enumeration date
05/20/2010
Last updated
12/14/2010
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