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Individual

AMANDA L DESCHENES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703-5049
(866) 230-8550
(913) 341-5797
Mailing address
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703-5049
(866) 230-8550
(913) 341-5797

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2004004430
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00028029
RAILROAD
MO
Enumeration date
01/28/2008
Last updated
06/10/2019
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