Individual
MRS. KALIE THOMAS DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-156140
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
1-156140
AL
390200000X
Student in an Organized Health Care Education/Training Program
1-156140
AL
Other
Enumeration date
04/16/2021
Last updated
05/09/2022
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