Individual
PAIGE WILLIS
Active
Individual
PAIGE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
103716
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
115300
OK
Other
Enumeration date
06/15/2015
Last updated
05/18/2016
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