Individual
ADRIANE TREMAIN FAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-1111
Mailing address
1 MT. CARMEL WAY, PITTSBURG, KS 66762
(620) 231-6100
(620) 231-7602
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
147203
KS
367500000X
Certified Registered Nurse Anesthetist
147203
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200620060C
—
KS
Enumeration date
07/29/2009
Last updated
01/23/2014
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