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NPI Code Detail

MEDICARE: JAMES JUDE NEIMAN CRNA

MEDICARE:   JAMES JUDE NEIMAN  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 Anesthetist0024165872VA

Other Identifiers

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

General Provider Information

NPI Number : 1902868128
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES JUDE NEIMAN CRNA
Provider Business Mailing Address
First Line : PO BOX 740209
Second Line : DEPT 1041
City : ATLANTA
State : GA
Zip : 30374-0209
Country : US
Telephone Number : 941-360-1566
Fax Number : 941-358-9818
Provider Business Practice Location Address
First Line : 2621 GROVE AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23220-4300
Country : US
Telephone Number : 804-254-5100
Fax Number : 804-254-5187
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2006
Last Update Date : 05/05/2009

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