Individual
JOSEPHINE M SANTIAGO
Active
Individual
JOSEPHINE M SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR09422300
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00202600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079224
AANA ID#
—
01
—
P00678802
RAILROAD MEDICARE PTAN
NJ
Enumeration date
05/23/2008
Last updated
04/17/2015
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