MEDICARE: DONNA EMBREY 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	ARNP2597032	FL

General Provider Information

NPI Number	:	1134193063
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONNA EMBREY CRNA

Provider Business Mailing Address
First Line	:	25 COURTENAY DR
Second Line	:	SUITE #4200 MSC240
City	:	CHARLESTON
State	:	SC
Zip	:	29425-8911
Country	:	US
Telephone Number	:	843-876-5745
Fax Number	:

Provider Business Practice Location Address
First Line	:	25 COURTENAY DR
Second Line	:	SUITE #4200 MSC240
City	:	CHARLESTON
State	:	SC
Zip	:	29425-8911
Country	:	US
Telephone Number	:	843-876-5745
Fax Number	:

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

Provider Enumeration Date	:	02/15/2006
Last Update Date	:	12/09/2011

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Directions to “ DONNA EMBREY CRNA” Practice Location

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