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NPI Code Detail

MEDICARE: MRS. MARCIA DELOIS BOSWELL CRNA

MEDICARE: MRS. MARCIA DELOIS BOSWELL 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 Anesthetist1041480AL

General Provider Information

NPI Number : 1669452587
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARCIA DELOIS BOSWELL CRNA
Provider Business Mailing Address
First Line : PO BOX 235022
Second Line :
City : MONTGOMERY
State : AL
Zip : 36123-5022
Country : US
Telephone Number : 354-386-2051
Fax Number : 334-396-6929
Provider Business Practice Location Address
First Line : 701 PRINCETON AVE SW
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35211-1303
Country : US
Telephone Number : 205-783-3144
Fax Number : 205-783-3195
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. MARCIA DELOIS BOSWELL CRNA” Practice Location

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