NPI 1053331546

Harry Rafael Sevilla Abilla, NPCCRNAMSN

Practitioner Certified Registered Nurse Anesthetist Lagrange, GA

Practice location

Address: 310 North Davis Street, Lagrange, GA 30240
Phone: (706) 812-4068
Mailing address: PO Box 840853, Dallas, TX 75284-0853

Registered specialties (3)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence AP130882 (TX)

Other Nurse Anesthetist, Certified Registered providers in Georgia →

Family Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence RN181018 (GA)

Other Nurse Practitioner providers in Georgia →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence RN181018 (GA)

Registry record

NPI: 1053331546
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jul 2006
Record last updated: 12 Jan 2022

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.