Individual
JULIA LYN YARYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
29 NW 1ST LN, LAMAR, MO 64759-8105
(417) 681-5106
Mailing address
29 NW 1ST LN, LAMAR, MO 64759-8105
(417) 681-2106
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
059960
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000050010
GROUP PTAN
MO
Enumeration date
02/03/2006
Last updated
06/22/2015
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