Individual
RENEE PAYNE FREEMAN
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
1-047484
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000032116
—
AL
01
—
430036754
PALMETTO
AL
01
—
595253125A
GA CAID
AL
Enumeration date
04/17/2006
Last updated
01/05/2018
Update your record
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