Individual
JOHANNA RENE BURWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
900 OLD KOENIG LN, SUITE 123, AUSTIN, TX 78756-1528
(512) 374-1876
Mailing address
2009 ALAMEDA DR, AUSTIN, TX 78704-4311
(512) 394-6947
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3040
CA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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