Grover Scott Cruise, CRNA Valid NPI

Individual provider · Certified Registered Nurse Anesthetist · Hattiesburg, MS

NPI

1720043219

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

R847413 (MS)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-04-19

Last updated

2024-10-03