Carly Provan, CRNA

NPI #1003675992 in Bradenton, Florida

Provider Information

NPI Number
1003675992
Entity Type
Individual
Name
Carly Provan, CRNA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Mar 14, 2024
Last Updated
Mar 14, 2024

Practice Location

Address
8000 STATE ROAD 64 E
State
Florida
ZIP Code
34212-7703
Phone
(941) 792-1404

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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