Individual
DANA K FLATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
701 N 1ST ST, ANESTHESIA DEPARTMENT, SPRINGFIELD, IL 62781-0002
(217) 788-3754
(217) 757-2021
Mailing address
PO BOX 4488, SPRINGFIELD, IL 62708-4488
(217) 788-3754
(217) 788-7071
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
076965
ANCC CERTIFICATION
IL
Enumeration date
07/30/2007
Last updated
07/30/2007
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