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Individual

MS. MYRA K BRANCH

Active
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Individual

MS. MYRA K BRANCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0001104424
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024104424
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
014979900
MD
05
1548279417
VA
Enumeration date
08/07/2006
Last updated
11/04/2016
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