Individual
CONSTANCE SUSAN CRISWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 MADRONE ST, WILLITS, CA 95490-4225
(707) 456-3171
Mailing address
1 MADRONE ST, WILLITS, CA 95490-4225
(707) 456-3171
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3189
CA
Other
Enumeration date
01/09/2006
Last updated
06/25/2013
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