Individual
MRS. KATELYN RENEE YUCATONIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
913039
MS
367500000X
Certified Registered Nurse Anesthetist
Primary
901957
MS
Other
Enumeration date
01/09/2025
Last updated
01/16/2025
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