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LISA A BRASCHO CRNA

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

Registrant NPI Number: 1699725473

Individual Registrant:
 LISA A BRASCHO CRNA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
400 E 10TH ST  ANNISTON, AL 36207-4716 US
Tel: 256-235-5190  Fax: --

Contact information for business:
PO BOX 10484  BIRMINGHAM, AL 35202-0484 US
Tel: 205-322-1808  Fax: 205-322-1851

Registration Information:
NPI: 1699725473
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y367500000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Anesthetist, Certified Registered
AL1-058973

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
051525875AL05
BLUE SHIELD51530494AL01
BLUE SHIELD51074344AL01
BLUE SHIELD51525875AL01
PALMETTO GBA - RR MEDICARP0020045701
051556629AL05




HEALTH CARE JOBS AL - Page 1



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