Individual
NOE SEPULVEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
501 W FRONT ST, ELMER, NJ 08318-2101
(856) 363-1000
(877) 329-2370
Mailing address
PO BOX 650782, DALLAS, TX 75265-0782
(302) 733-0806
(302) 733-0854
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR10556800
NJ
163W00000X
Registered Nurse
RN354200L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00207900
NJ
Other
Enumeration date
10/26/2006
Last updated
08/22/2024
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