Individual
ELISE ANN KRUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSA, CSFA
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
Mailing address
912 WARLANDER DR SW, LEESBURG, VA 20175-4386
(703) 965-4299
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203864
NBSTSA CSFA
—
01
—
5237
NCCSA CERTIFIED SURGICAL ASSISTANT
—
Enumeration date
10/31/2022
Last updated
03/24/2026
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