Individual
ANGEL CAMERON COURTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
30862 PINE CT, SPANISH FORT, AL 36527-8668
(407) 973-0769
Mailing address
30862 PINE CT, SPANISH FORT, AL 36527-8668
(407) 973-0769
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0094976
OK
367500000X
Certified Registered Nurse Anesthetist
1-095484
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
9194759
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP9194759
FL STATE LIC
FL
01
—
G3809
FL BCBS #
FL
01
—
P00267635
MEDICARE RAILROAD #
—
Enumeration date
01/24/2007
Last updated
02/05/2017
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