Connie F. Bray, CRNA

Individual provider Active NPI Certified Registered Nurse Anesthetist · Salem, AR

NPI 1164557351 · NPPES record last updated Mar 8, 2011

Key facts

NPI
1164557351
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
CRNA369 (AR)
Practice address
507 N Main St
Salem, AR 72576
Phone
(870) 895-2541
Fax
(870) 895-2957
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
CRNA369ARMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Spring River Home Health Agency Inc Past
since Jan 15, 1981
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X CRNA369 AR Yes

Addresses

Primary practice location

507 N Main St
Salem, AR 72576

Mailing address

507 N Main St
Salem, AR 72576
Phone (870) 895-2541

Other providers in Salem, AR

All providers in Salem, AR · Certified Registered Nurse Anesthetist in Arkansas

Sources for this page

Verify at the official NPI Registry.