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Individual

EMILY A WARREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-083208
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051537219
AL
01
1811097082
TRICARE STANDARD
AL
01
51537219
BCBS OF AL
AL
01
P00617718
RAILROAD MEDICARE
AL
Enumeration date
09/25/2006
Last updated
04/24/2017
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