| NPI | 1215550454 |
|---|---|
| Other Name | CHUCK MIX |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2020013534) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14-125308-072) |
| 163W00000X Registered Nurse (Licence: MO 1215550454) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43-557783-072) | |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2026-04-24 |