Individual
MARY C GOLUBSKI
Active
Individual
MARY C GOLUBSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28149952A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000192506
ANTHEM BCBS
IN
05
—
200332010A
—
IN
Enumeration date
03/01/2007
Last updated
09/10/2020
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