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Individual

SARAH NICOLE KRIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
201 S 14TH ST, HERRIN, IL 62948-3631
(618) 942-2171
(618) 351-4919
Mailing address
1239 E MAIN ST, CARBONDALE, IL 62901-3175
(618) 942-2171
(618) 351-4919

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041369893
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209013021
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
214881
MULTI SPECIALTY GROUP
IL
Enumeration date
07/21/2015
Last updated
05/12/2021
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