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Certifications
NBCRNA
Certification #
Type
Exp. Date
74273
Board
07/31/2024
ACLS
Certification #
Type
Exp. Date
N/A
CEU
11/19/2024
BLS
Certification #
Type
Exp. Date
N/A
CEU
07/15/2023
NRP
Certification #
Type
Exp. Date
N/A
CEU
02/28/2023
PALS
Certification #
Type
Exp. Date
N/A
CEU
03/30/2025
AANA
Certification #
Type
Exp. Date
74273
Membership
08/31/2023
DEA
Certification #
Type
Exp. Date
MC2942224 Alaska
License
08/31/2025
DEA
Certification #
Type
Exp. Date
MC6025200 Washington
License
08/31/2023
NPPES
Certification #
Type
Exp. Date
NPI 1861437337
Provider Number
N/A
Certifications
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Certification Name
Certification #
Type
Status
Issue Date
Expiration Date
NBCRNA-National Board of Certification & Recertification for Nurse Anesthetists
