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NPI Code Detail

MEDICARE: DONNA RENEE APPLETON CRNA

MEDICARE: DONNA RENEE APPLETON 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 Anesthetist1-43489AL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00866452OTHERALRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3511-01864OTHERALBCBS

General Provider Information

NPI Number : 1255462214
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA RENEE APPLETON CRNA
Provider Business Mailing Address
First Line : PO BOX 1547
Second Line :
City : SEDALIA
State : MO
Zip : 65302-1547
Country : US
Telephone Number : 660-826-5960
Fax Number : 660-826-4852
Provider Business Practice Location Address
First Line : 1701 PELHAM RD S
Second Line :
City : JACKSONVILLE
State : AL
Zip : 36265-3353
Country : US
Telephone Number : 256-782-4523
Fax Number : 256-782-4184
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 03/21/2014

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Directions to “ DONNA RENEE APPLETON CRNA” Practice Location

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