Individual
MRS. TWYLA ANN LANDESS
Active
Individual
MRS. TWYLA ANN LANDESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704156537
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102971323
—
MI
01
—
4308754070
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/21/2006
Last updated
02/10/2012
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