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NPI Code Detail

MEDICARE: GENEVIEVE BLANCHARD MCGOWAN C.R.N.A.

MEDICARE: GENEVIEVE BLANCHARD MCGOWAN C.R.N.A.
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 AnesthetistARNP2878422FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1G2900OTHERFLBCBS

General Provider Information

NPI Number : 1144264920
Entity Type Code : Individual
Provider Name (Legal Business Name) : GENEVIEVE BLANCHARD MCGOWAN C.R.N.A.
Provider Business Mailing Address
First Line : PO BOX 323
Second Line :
City : PERRY
State : FL
Zip : 32348-0323
Country : US
Telephone Number : 813-985-5992
Fax Number : 813-985-5982
Provider Business Practice Location Address
First Line : 333 N BYRON BUTLER PKWY
Second Line :
City : PERRY
State : FL
Zip : 32347-2300
Country : US
Telephone Number : 813-985-5992
Fax Number : 813-985-5982
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2006
Last Update Date : 07/08/2007

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