Whalio Doctors

NPI 1003007329

Shirley a Jautz, CRNA

Practitioner Certified Registered Nurse Anesthetist Poplar Bluff, MO

Practice location

Address
221 Physicians Park, Poplar Bluff, MO 63901-3956
Phone
(573) 727-9080
Mailing address
5983 US Highway 63, Pomona, MO 65789-9538

Registered specialties

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 129615 (MO)

Registry record

NPI
1003007329
Entity type
Individual
Sex (as registered)
Female
NPI issued
5 Aug 2007
Record last updated
9 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.