Individual
LA VERNE VAUTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
1-035379
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
1035379
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009957735
—
AL
01
—
051057704
BC OF AL
AL
Enumeration date
10/04/2005
Last updated
03/21/2011
Update your record
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