Individual
JENNIFER KROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8422 E SHEA BLVD, 103, SCOTTSDALE, AZ 85260-6661
(480) 478-6620
(480) 478-6628
Mailing address
8422 E SHEA BLVD, 103, SCOTTSDALE, AZ 85260-6661
(480) 478-6620
(480) 478-6628
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
IR949482
OH
163W00000X
Registered Nurse
RN146412
AZ
163W00000X
Registered Nurse
RN593562
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA
AZ
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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