Individual
GERRI THOMAS ELLIS
Active
Individual
GERRI THOMAS ELLIS
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
767677
TX
367500000X
Certified Registered Nurse Anesthetist
AP05725
LA
367500000X
Certified Registered Nurse Anesthetist
RN055481
LA
367500000X
Certified Registered Nurse Anesthetist
RN599680
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209429402
—
TX
05
—
2177630
—
LA
01
—
8852UA
BCBS
TX
01
—
P00928955
RAILROAD
TX
Enumeration date
10/14/2008
Last updated
04/15/2012
Update your record
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