Individual
MRS. LARESSA FAY BAZZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, CRNA
Contact information
Practice address
632 N 12TH ST # 230, MURRAY, KY 42071-1651
(270) 210-8873
Mailing address
632 N 12TH ST # 230, MURRAY, KY 42071-1651
(270) 210-8873
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3005904
KY
Other
Enumeration date
02/06/2009
Last updated
07/25/2016
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