Individual
SUSAN PAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
700 E UNIVERSITY AVE, DES MOINES, IA 50316-2302
(515) 263-5612
Mailing address
925 SHERWOOD DR, LAKE BLUFF, IL 60044-2203
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
089666
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0400122
—
IA
05
—
2400122
—
IA
01
—
58124
WELLMARK
IA
Enumeration date
02/19/2007
Last updated
10/17/2007
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