Individual
ALLISON KAREN DESARRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-2999
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
305025
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA243040
ME
Other
Enumeration date
07/27/2023
Last updated
06/10/2024
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