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CANAAN MARIE CHAMPION CRNA

>> Nurse Anesthetist, Certified Registered >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1922155001

Individual Registrant:
 CANAAN MARIE CHAMPION CRNA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
880 W MAIN ST  BOONEVILLE, AR 72927-3420 US
Tel: 479-675-2800  Fax: --

Contact information for business:
880 W MAIN ST  BOONEVILLE, AR 72927-3420 US
Tel: 479-675-2800  Fax: --

Registration Information:
NPI: 1922155001
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N367500000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Anesthetist, Certified Registered
OKR 92363
N367500000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Anesthetist, Certified Registered
GARN164615
Y367500000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Anesthetist, Certified Registered
ARC02654 CRNA

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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