Individual
BRENDA KRAFT
Active
Individual
BRENDA KRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D98709
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1155473
—
IA
01
—
47137
BLUE CROSS OF IA
IA
Enumeration date
07/10/2006
Last updated
10/03/2008
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