Individual
MRS. CYNTHIA DIANE GRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
602 3RD AVE, JASPER, IN 47546-3601
(812) 482-9617
(812) 634-7152
Mailing address
602 3RD AVE, PO BOX 0488, JASPER, IN 47546-3601
(812) 482-9617
(812) 634-7152
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28080901A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215015771
GRESS ANESTHESIA SERVICES GROUP NPI #
IN
01
—
200055770
DAVIESS COUNTY HOSPITAL MEDICAID PROVIDER #
IN
05
—
200055770
—
IN
01
—
CB2060D
DAVIESS COUNTY HOSPITAL MEDICARE PROVIDER #
IN
01
—
P00116059
DAVIESS COUNTY HOSPITAL MEDICARE R/R PROVIDER #
IN
Enumeration date
07/06/2006
Last updated
07/08/2008
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