CANAAN MARIE CHAMPION

SHATTUCK, OK
NPI1922155001
Former NameCANAAN MARIE WINFORD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AR  C02654 CRNA)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: OK  R 92363)
367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  RN164615)
Enumeration Date2007-01-04
Last Update Date2019-10-30
Business Address
CANAAN MARIE CHAMPION CRNA
1523 S MAIN ST
SHATTUCK, OK 73858-9223
Phone number: 870-403-1225
Mailing Address
CANAAN MARIE CHAMPION CRNA
2719 HIGHWAY 351
JONESBORO, AR 72405-6931
Phone number: 870-403-1225