Individual
COURTNEY DEVERE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 409-8351
Mailing address
55 WOLFERT AVE, MENANDS, NY 12204-1733
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
687763
NY
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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