Individual
SUE ANN GINGERICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-8400
Mailing address
17893 224TH ST, MANCHESTER, IA 52057-8629
(563) 927-6183
(563) 927-6183
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209005003
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
D090526
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2542936
—
IA
01
—
30980
WASHINGTON BC/BS IOWA
IA
05
—
5542936
—
IA
Enumeration date
06/09/2005
Last updated
11/27/2023
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