Individual
KRISTEN MARIE ENGSTROM
Active
Individual
KRISTEN MARIE ENGSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201341218RN
OR
163W00000X
Registered Nurse
66482
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
201360040CRNA
OR
Other
Enumeration date
07/09/2013
Last updated
05/11/2016
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