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NPI Code Detail

MEDICARE: SHERRON C DANIEL CRNA

MEDICARE: SHERRON C DANIEL 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 Anesthetist1-018099AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
251076619OTHERALBCBS #

General Provider Information

NPI Number : 1306859087
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERRON C DANIEL CRNA
Provider Business Mailing Address
First Line : PO BOX 660685
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35266-0685
Country : US
Telephone Number : 205-979-5882
Fax Number : 205-979-1248
Provider Business Practice Location Address
First Line : 604 STONE AVE
Second Line :
City : TALLADEGA
State : AL
Zip : 35160-2217
Country : US
Telephone Number : 256-362-8111
Fax Number : 256-761-4203
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2006
Last Update Date : 12/02/2009

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Directions to “ SHERRON C DANIEL CRNA” Practice Location

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