RODRIQUE DEWYANE NELSON — Medicare Enrolled Provider (PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA), TX)
RODRIQUE DEWYANE NELSON — Medicare Enrolled Provider (PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA), TX) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: RODRIQUE DEWYANE NELSON; Type: Individual; NPI: 1003187600.
| Name | RODRIQUE DEWYANE NELSON |
|---|---|
| Type | Individual |
| NPI | 1003187600 |
| Provider type | PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| State | TX |
| Enrollment ID | I20120420000217 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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