Individual
MARY C FLANAGAN
Active
Individual
MARY C FLANAGAN
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
R 131235-7
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202500100
—
MN
01
—
89G19FL
BCBSMN
MN
Enumeration date
06/07/2006
Last updated
05/15/2008
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