Individual
ELIJAH SAMUEL VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
601 W LEOTA ST, NORTH PLATTE, NE 69101-6525
(308) 568-8000
Mailing address
17118 SILLS DR, PRAIRIEVILLE, LA 70769-3494
(225) 939-1038
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
101500
NE
Other
Enumeration date
06/27/2018
Last updated
06/09/2025
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