Carly Provan, CRNA Valid NPI

Individual provider · Certified Registered Nurse Anesthetist · Bradenton, FL

NPI

1003675992

Type

Individual (Type 1)

Primary specialty

Certified Registered Nurse Anesthetist (Nurse Anesthetist, Certified Registered)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

367500000X

License number

RN9514153 (FL)

Sex

Female

Sole proprietor

No

Enumerated

2024-03-14

Last updated

2024-03-14