Individual
GINA MARIE BLEYENBURG
Active
Individual
GINA MARIE BLEYENBURG
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
CR000700
SD
367500000X
Certified Registered Nurse Anesthetist
D119374
IA
Other
Enumeration date
05/06/2008
Last updated
12/03/2018
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