Individual
PAULINA MORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2737 S 7TH ST, TERRE HAUTE, IN 47802-3509
(812) 231-4608
Mailing address
103 S 23RD ST, TERRE HAUTE, IN 47803-1831
(312) 813-0338
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041406983
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
135409
IN
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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