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Individual

MS. EBONY PAGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(678) 216-0771
Mailing address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
106617
NC
367500000X
Certified Registered Nurse Anesthetist
APRN11001233
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
GAA-CRNA000560
GA
367500000X
Certified Registered Nurse Anesthetist
M134023
OK
367500000X
Certified Registered Nurse Anesthetist
R178075
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R178075
CRNA LICENSE NUMBER
MD
Enumeration date
07/01/2015
Last updated
02/08/2024
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