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VIRGINIA N MOURAS CRNA

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

Registrant NPI Number: 1770552697

Individual Registrant:
 VIRGINIA N MOURAS CRNA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
CORNER BOREALIS AND EAST D STREET  TOK, AK 99780-0314 US
Tel: 907-883-9839  Fax: 907-883-9839

Contact information for business:
PO BOX 314  TOK, AK 99780-0314 US
Tel: 907-883-9839  Fax: 907-883-9839

Registration Information:
NPI: 1770552697
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y367500000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Anesthetist, Certified Registered
KS55129

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BCBS OF KS144923KS01
200371520AKS05
RR MEDICARE GROUP CQ2302P00056232KS01




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