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Individual

JOAN MARIE PASSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(823) 355-2666
Mailing address
PO BOX 22005, ST PETERSBURG, FL 33742-2005
(727) 823-2188
(727) 823-9502

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1126256
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP3042412
FL
367500000X
Certified Registered Nurse Anesthetist
RN797177
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
309136800
FL
01
G4535
FL BCBS
FL
01
P00661616
RAILROAD MEDICARE ASSOCIATED WITH GROUP CF4811
Enumeration date
04/16/2008
Last updated
02/26/2025
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