Individual
KAREN RUTH CRUCIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157-0001
(336) 713-2555
Mailing address
1000 NORWOOD LN, LEWISVILLE, NC 27023-8501
(336) 946-2521
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
120721
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048279
AANA RECERTIFICATION
—
01
—
120721
NURSING LICENSE
NC
05
—
8051017
—
NC
Enumeration date
11/22/2005
Last updated
01/11/2008
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