Individual
ANN I. PELEGRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
499 AZALEA DR, OXFORD, MS 38655-7901
(662) 234-7979
(334) 244-1830
Mailing address
P.O. BOX 3488, DEPT. 05-003, TUPELO, MS 38803
(334) 386-2053
(334) 244-1830
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R130790
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00110247
—
MS
Enumeration date
07/25/2006
Last updated
07/09/2007
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