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Search › Illinois › 367500000X

Haskell Nutgrass Jr., CRNA

NPI 1558571737 · on the registry since 2007 · sole proprietor

Practice

Address
911 Stacey Burk Dr
Flora, IL 62839
Phone
(618) 662-1638
Organisation at this address
County Of Clay
County Of Clay
County Of Clay
County Of Clay
County Of Clay
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
367500000X
367500000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois