Mardis H Harrell, CRNA Valid NPI

Individual provider · Registered Nurse · Fort Walton Beach, FL

NPI

1316949126

Type

Individual (Type 1)

Primary specialty

Registered Nurse

Specialty group

Nursing Service Providers

Taxonomy code

163W00000X

License number

ARNP 2135062 (FL)

Sex

Female

Sole proprietor

No

Enumerated

2005-08-11

Last updated

2007-07-08