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Individual

KRISTEN JEAN VITOUSEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2800 10TH AVE N, BILLINGS, MT 59101-0703
(303) 438-3999
(303) 780-0787
Mailing address
PO BOX 844058, DALLAS, TX 75284-4058
(303) 438-3999
(303) 780-0787

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
CRNA1512
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
NUR-APRN-LIC-219984
MT

Other

Enumeration date
05/07/2018
Last updated
05/02/2024
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