Individual
MS. JENNIFER L. AGSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1600 ROCKLAND ROAD, WILMINGTON, DE 19803-3607
(302) 651-4200
(302) 651-5365
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
L10036390
DE
367500000X
Certified Registered Nurse Anesthetist
Primary
L60A00588
DE
367500000X
Certified Registered Nurse Anesthetist
RN562407
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102518354
—
PA
Enumeration date
12/16/2009
Last updated
05/21/2015
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