Mardis H Harrell, CRNA

NPI #1316949126 in Fort Walton Beach, Florida

Provider Information

NPI Number
1316949126
Entity Type
Individual
Name
Mardis H Harrell, CRNA
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Registered Nurse
Credential
CRNA
Enumeration Date
Aug 11, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
928 MAR WALT DR
Address 2
SUITE 201
State
Florida
ZIP Code
32547-6706
Phone
(850) 862-4377

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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