Individual
ALEXANDRIA N PLACENCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
525 BRANSON LANDING BLVD, BRANSON, MO 65616-2052
(417) 875-3000
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2014005835
MO
367500000X
Certified Registered Nurse Anesthetist
120944
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
2021018485
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
910072338
—
MO
Enumeration date
03/25/2019
Last updated
02/23/2024
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