Individual
EVA ROSS
Active
Individual
EVA ROSS
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
4704253168
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704253168
MI LIC
MI
01
—
RN9318095
FL LIC
FL
Enumeration date
01/07/2011
Last updated
04/26/2024
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