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NPI Code Detail

MEDICARE: CAREY LIANA COX CRNA

MEDICARE:   CAREY LIANA COX  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
1367500000XCertified Registered Nurse Anesthetist050609MN
2367500000XCertified Registered Nurse AnesthetistR188919MD
3367500000XCertified Registered Nurse AnesthetistRN1018355DC
4367500000XCertified Registered Nurse AnesthetistR120483-4MN

General Provider Information

NPI Number : 1790755783
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAREY LIANA COX CRNA
Provider Business Mailing Address
First Line : 13523 BARRETT PARKWAY DRIVE
Second Line : SUITE 104
City : BALLWIN
State : MO
Zip : 63021-3802
Country : US
Telephone Number : 636-938-6868
Fax Number : 636-938-1486
Provider Business Practice Location Address
First Line : 45 THOMAS JOHNSON DRIVE
Second Line : SUITE 207
City : FREDERICK
State : MD
Zip : 21702-4425
Country : US
Telephone Number : 301-694-3400
Fax Number : 301-694-3620
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2006
Last Update Date : 09/28/2010

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Directions to “ CAREY LIANA COX CRNA” Practice Location

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