Health Care Hiring, Medical Jobs
Search from millions of jobs nationwide
Find health care employers in your area
NPI Search for Physicians and Health Care Providers
MRS. KORIE L AGUDELO CRNA
>> Nurse Anesthetist, Certified Registered >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1891094165
Individual Registrant:MRS. KORIE L AGUDELO CRNA
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
380 HOSPITAL DR SUITE 410 MACON, GA 31217 US
Tel: 478-746-5644 Fax: --
Tel: 478-746-5644 Fax: --
Contact information for business:
PO BOX 2564 MACON, GA 31203-2565 US
Tel: 478-746-5644 Fax: 478-745-4849
Tel: 478-746-5644 Fax: 478-745-4849
Registration Information:
NPI: 1891094165
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 367500000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Anesthetist, Certified Registered | GA | RN159841 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| TRICARE | 580628385 | GA | 01 |
| 003113553I | GA | 05 | |
| 003113553J | GA | 05 | |
| WELLCARE | 637585 | GA | 01 |
| 003116613C | GA | 05 | |
| 003116613A | GA | 05 |
