Individual
MICHELLE TRYTKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5633 N. LIDERGERWOOD, SPOKANE, WA 99208
(509) 482-0111
Mailing address
910 N WASHINGTON ST, SUITE 209, SPOKANE, WA 99201-2202
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30004886
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0188307
L &I PIN #
WA
05
—
9611674
—
WA
05
—
9612839
—
WA
01
—
AP30004886
LICENCE
WA
01
—
G000381050
MDC GROUP #
WA
01
—
G8806553
MDC PIN #
WA
01
—
P00141587
MDC RR #
WA
01
—
RN00086928
LICENCE
WA
Enumeration date
01/26/2007
Last updated
07/09/2007
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