Individual
KAREN HERGENREDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2409 CHERRY ST, #305, TOLEDO, OH 43608-2625
(419) 251-3740
(419) 251-3859
Mailing address
924 JENNISON DR, ROSSFORD, OH 43460-1552
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
215576
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.07590
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2452911
—
OH
Enumeration date
05/17/2006
Last updated
06/06/2019
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