Individual
LISA MARIE O'DRISCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 BOONE RD, BREMERTON, WA 98312-1894
(360) 475-4232
Mailing address
1 BOONE RD, BREMERTON, WA 98312-1894
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
RN56252
NV
207L00000X
Anesthesiology Physician
RN56252
NV
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60849421
WA
Other
Enumeration date
06/12/2017
Last updated
07/21/2023
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