Most Relevant Information
Provider Data
| NPI Number: | 1003013038 |
| Provider Name: | DELLA EETEN CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/02/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
210 W WALNUT ST
CANTON
IL
615202444
Practice Location Phone/Fax
| Phone: | 3096475240 |
| Fax: | 3096495110 |
Provider Mailing Location
210 W WALNUT ST
CANTON
IL
615202444
Provider Mailing Phone/Fax
| Phone: | 3096475240 |
| Fax: | 3096495110 |