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Individual

TERESA K GIVENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
251 SKAGGS RD, BRANSON, MO 65616-2031
(417) 239-3392
(417) 239-3394
Mailing address
PO BOX 842120, KANSAS CITY, MO 64184-2120
(417) 239-3392
(417) 239-3394

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
109583
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
913567525
MO
Enumeration date
09/14/2005
Last updated
12/02/2011
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