Individual
LYNETTE M QUIST-CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703-5049
(573) 331-5114
(913) 341-5797
Mailing address
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703-5049
(573) 331-5114
(913) 341-5797
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
125093
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
405586
BCBS
MO
05
—
917221707
—
MO
01
—
P00353187
RAILROAD MEDICARE
MO
Enumeration date
08/30/2006
Last updated
06/25/2009
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