Individual
JENNIFER RADER
Active
Individual
JENNIFER RADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R81363
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
C002992
AR
367500000X
Certified Registered Nurse Anesthetist
CTP-000238
AR
Other
Enumeration date
04/12/2013
Last updated
09/12/2018
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