Individual
VIRGINA LEE PAINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
901 E 5TH ST, WASHINGTON, MO 63090-3127
(636) 239-8090
Mailing address
176 HIGHWAY TT, MARTHASVILLE, MO 63357-2228
(636) 239-8090
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
036413
MO
367500000X
Certified Registered Nurse Anesthetist
036413
MS
Other
Enumeration date
01/31/2006
Last updated
01/15/2014
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