Nall, Mary Lillian

Nall, Mary Lillian is an individual health care provider with primary practice located at 1601 Watson Blvd , Warner Robins GA 31093-3431. 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. Nall, Mary Lillian can be contacted via phone (478) 329-0051.

Contact Information

Primary practice address
1601 Watson Blvd Warner Robins GA 31093-3431
Phone: (478) 329-0051
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN097904 Georgia

Profile Details

NPI number 1396709606
LBN Legal business name Nall, Mary Lillian
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Feb 18th, 2016 - about 8 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 1396709606 NPPES
Georgia Other 369270 STATE MERIT
Georgia MEDICAID 668512625A STATE MERIT

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