MEDICARE: DAVID J. FLOWERS CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	RN050736	GA
2	367500000X	Certified Registered Nurse Anesthetist	1-063196	AL
3	367500000X	Certified Registered Nurse Anesthetist	286	AK
4	367500000X	Certified Registered Nurse Anesthetist	3247	CA
5	367500000X	Certified Registered Nurse Anesthetist	95899	CO
6	367500000X	Certified Registered Nurse Anesthetist	ARNP9242030	FL
7	367500000X	Certified Registered Nurse Anesthetist	112318	IA
8	367500000X	Certified Registered Nurse Anesthetist	AP04019	LA
9	367500000X	Certified Registered Nurse Anesthetist	R740159	MS
10	367500000X	Certified Registered Nurse Anesthetist	119430	MO
11	367500000X	Certified Registered Nurse Anesthetist	R54258	NM
12	367500000X	Certified Registered Nurse Anesthetist	0024166519	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205894227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID J. FLOWERS CRNA

Provider Business Mailing Address
First Line	:	5123 MITCHELL RD
Second Line	:
City	:	LONG BEACH
State	:	MS
Zip	:	39560-3201
Country	:	US
Telephone Number	:	228-363-9165
Fax Number	:

Provider Business Practice Location Address
First Line	:	5123 MITCHELL RD
Second Line	:
City	:	LONG BEACH
State	:	MS
Zip	:	39560-3201
Country	:	US
Telephone Number	:	228-363-9165
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2006
Last Update Date	:	06/26/2015

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Directions to “ DAVID J. FLOWERS CRNA” Practice Location

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