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General NPI Number Information
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NPI Number | 1396957395
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Entity Type | Individual
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Provider Name | MONICA L FIRME CRNA
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Gender | Female
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 10/12/2016
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Provider Practice Location Address
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Address Line | 1525 W 5TH ST
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City | STORM LAKE
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State | IA
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Zip | 50588-3027
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Country | US
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Telephone | 712-732-4455
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Fax |
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Provider Business Mailing Address
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Address Line | 1210 W 6TH ST
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City | STORM LAKE
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State | IA
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Zip | 50588-2910
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Country | US
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Telephone | 573-686-5550
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 102625
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License Number State | IA
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