Individual
DENISE GAWMAN MAEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
711 S PARSONS AVE, BRANDON, FL 33511-6058
(813) 654-7111
(813) 654-3347
Mailing address
PO BOX 862811, ORLANDO, FL 32886-2811
(913) 754-0467
(913) 241-5797
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9188571
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305504300
—
FL
01
—
G3281
BCBS
FL
01
—
P00031228
RAILROAD MEDICARE
FL
Enumeration date
03/17/2006
Last updated
07/15/2008
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