Provider Demographics
NPI:1962485334
Name:MUNRO, EDNA EARLE (CRNA)
Entity Type:Individual
Prefix:MS
First Name:EDNA
Middle Name:EARLE
Last Name:MUNRO
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11218
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32524-1218
Mailing Address - Country:US
Mailing Address - Phone:850-554-5935
Mailing Address - Fax:
Practice Address - Street 1:8383 NORTH DAVIS HWY
Practice Address - Street 2:WEAT FLORIDA HOAPITAL
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514
Practice Address - Country:US
Practice Address - Phone:850-494-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-21
Last Update Date:2010-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRN556866367500000X
FLARNP 355972367500000X
ALRN1019427CRNA367500000X
TNRN0000080075367500000X
TNAPN0000009542367500000X
KYRN1063680367500000X
KYARNP1341A367500000X
MSRNR728012CRNA367500000X
ARR55678RN367500000X
ARC01104CRNA367500000X
LARNRN025830367500000X
LACRNAAP02983367500000X
DCRN59322367500000X
GARN094759367500000X
ILRN041255662367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
S55931Medicare UPIN