Individual
MRS. JUDY LEE ROHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
250 HOSPITAL PL, SOLDOTNA, AK 99669-6999
(907) 714-4404
Mailing address
35555 SPUR HWY # 188, SOLDOTNA, AK 99669-7625
(907) 953-9586
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024164987
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA 2005
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
430002001
—
VA
01
—
483983800
MN HEALTH CARE PROVIDER
MN
Enumeration date
07/26/2006
Last updated
10/08/2020
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