Individual
GERALD PYNE
Active
Individual
GERALD PYNE
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
0024109225
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014996900
—
MD
05
—
1619904091
—
VA
Enumeration date
06/28/2006
Last updated
09/18/2014
Update your record
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