Individual
NANCY JEAN CLOUSE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4949 TAMIAMI TRAIL NORTH, SUITE 206, NAPLES, FL 34103
(239) 261-1158
(239) 261-4232
Mailing address
PO BOX 413012, NAPLES, FL 34101-3012
(239) 261-1158
(239) 261-4232
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP 976452
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G3973
BLUE CROSS BLUE SHIELD
FL
01
—
P00326144
RAILROAD MEDICARE
FL
01
—
U7862Z
MEDICARE
FL
Enumeration date
05/16/2006
Last updated
08/08/2007
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