Individual
MIKAYLA JARRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-4000
Mailing address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 543-7882
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN54390
RI
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.0993002-CRNA
CO
Other
Enumeration date
11/17/2016
Last updated
03/29/2017
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