Individual
TENNYSON CURTIS
Active
Individual
TENNYSON CURTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
303232
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430007568
RAILROAD MEDICARE
NY
01
—
CB1521
RAILROAD MEDICARE GROUP
NY
Enumeration date
07/29/2005
Last updated
02/08/2013
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