Individual
KERRI LYNN ENGELBART
Active
Individual
KERRI LYNN ENGELBART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
196027
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
CRA-25034
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30029350
—
CO
01
—
P00860356
RR MEDICARE
CO
Enumeration date
04/06/2010
Last updated
12/16/2013
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