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Individual

JANA GROSSHEIM

Active
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Individual

JANA GROSSHEIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
144782
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
54968
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1518999853
UT
05
26379562
NM
05
444549
AZ
05
68527578
CO
05
915256317
MO
01
P00753281
RR MEDICARE
NM
Enumeration date
07/07/2006
Last updated
02/11/2014
Update your record

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