Dedra Hern Crna Llc

LBN: Dedra Hern Crna Llc
Dedra Hern Crna Llc is an health care organization with primary practice located at 1601 38Th Ave N , St Petersburg FL 33713-1926. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as the primary health care specialty. Dedra Hern Crna Llc can be contacted via phone (317) 614-9863, or through Hern, Dedra via phone (813) 215-4960.

Contact Information

Primary practice address
1601 38Th Ave N St Petersburg FL 33713-1926
Phone: (317) 614-9863
Fax: (844) 876-0873
Website:
Map and Directions
Authorized official contact:
Name: Hern, Dedra Certified Registered Nurse Anesthetist (CRNA)
Phone: (813) 215-4960

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP2702392 Florida

Profile Details

NPI number 1679635924
LBN Legal business name Dedra Hern Crna Llc
DBA Doing business as
Authorized official Hern, Dedra Certified Registered Nurse Anesthetist (CRNA)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2006
Last updated Feb 16th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679635924 NPPES
Florida Other DC1392 RAILROAD MEDICARE
Florida Other G9055 RAILROAD MEDICARE
Florida MEDICAID 306290200 RAILROAD MEDICARE

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