Brandon Scott Tullos, CRNA Valid NPI

Individual provider · Certified Registered Nurse Anesthetist · Hattiesburg, MS

NPI

1891334215

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

890366 (MS)

Sex

Male

Sole proprietor

No

Enumerated

2020-01-02

Last updated

2020-01-02