Individual
JENNIFER SLADE ARCILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5759 CEDAR LN, COLUMBIA, MD 21044-2912
(410) 740-7795
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
634913
NY
163W00000X
Registered Nurse
R231009
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
R231009
MD
Other
Enumeration date
10/27/2014
Last updated
06/27/2022
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