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Individual

DIANE TRUSSELL

Active
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Individual

DIANE TRUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP408312
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
304448300
FL
01
430019223
RAILROAD MEDICARE
01
G1022Z
BC BS FL
Enumeration date
02/16/2006
Last updated
02/28/2013
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