Liberty Jo Schuller, RN
Nurse Anesthetist, Certified Registered in Coronado, CA. Individual provider (NPI-1).
NPI number1679880322
StatusActive
Last updated in NPPESDec 1, 2021
Details
- NPI
- 1679880322
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Liberty Jo Schuller
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 1, 2010
- Certification date
- Dec 1, 2021
- Last updated
- Dec 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 571135 | CA | Yes |
Practice location
809 1st StCoronado, CA 92118-1301
Phone 619-564-4767
Mailing address
809 1st StCoronado, CA 92118-1301
Phone 619-564-4767
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