Individual
MRS. CAROLYN MARIE PRUEMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 LACEY ST, CAPE GIRARDEAU, MO 63701-5230
(573) 651-5562
Mailing address
2122 WOODHAVEN RD, CAPE GIRARDEAU, MO 63701-2522
(573) 335-8173
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
083514
MO
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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