Dean, Myrna L.

Dean, Myrna L. is an individual health care provider with primary practice located at 1314 19Th Ave , Meridian MS 39301-4116. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Dean, Myrna L. can be contacted via phone (601) 703-9687.

Contact Information

Primary practice address
1314 19Th Ave Meridian MS 39301-4116
Phone: (601) 703-9687
Fax: (601) 703-9920
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R684465 Mississippi

Profile Details

NPI number 1134101330
LBN Legal business name Dean, Myrna L.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Nov 9th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134101330 NPPES
Other 430075353 RAILROAD MEDICARE
MEDICAID 00126060 RAILROAD MEDICARE

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