Individual
MS. SUSAN M PERRY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4881 SUGAR MAPLE DR, 88MDG, WPAFB, OH 45433
(937) 257-0837
Mailing address
PO BOX 640446, CINCINNATI, OH 45264-0446
(937) 293-0247
(937) 293-0969
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
567115
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
RN323057
OH
Other
Enumeration date
12/01/2005
Last updated
07/08/2007
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