Individual
MS. SAMIA KATHERINE ESSEDDIQI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8701 BROADWAY, MERRILLVILLE, IN 46410
(219) 738-5500
Mailing address
204 MCKINLEY ST, VALPARAISO, IN 46383-3549
(425) 210-0057
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2016003052
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
28240074A
IN
Other
Enumeration date
09/08/2015
Last updated
05/29/2018
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