Beverly Medlen, CRNA Valid NPI

Individual provider · Certified Registered Nurse Anesthetist · Jackson, MI

NPI

1487683090

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

0001105757 (VA)

Sex

Female

Sole proprietor

No

Enumerated

2006-07-03

Last updated

2007-07-08