Individual
MRS. DEBRA ANN OSWALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7535 AIRWAYS BLVD, SOUTHAVEN, MS 38671-5834
(662) 349-7766
Mailing address
4890 DELBRIDGE CT E, 4890 DELBRIDGE COURT EAST, OLIVE BRANCH, MS 38654-5016
(662) 544-5102
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R726958
MS
Other
Enumeration date
07/04/2006
Last updated
03/23/2011
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