Individual
MARIAMA ISHA BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-CRNA
Contact information
Practice address
4215 JOE RAMSEY BLVD E, GREENVILLE, TX 75401-7852
(903) 408-5000
Mailing address
4215 JOE RAMSEY BLVD E, GREENVILLE, TX 75401-7852
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
802438
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
209032270
IL
367500000X
Certified Registered Nurse Anesthetist
AP141871
TX
Other
Enumeration date
03/21/2019
Last updated
04/28/2025
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