Individual
HADLEY ANNE KNUDSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2386
(231) 935-5000
Mailing address
8054 DRIFTWOOD DR, FENTON, MI 48430-8961
(810) 444-2553
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704370321
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704370321
MI
Other
Enumeration date
07/11/2021
Last updated
08/24/2023
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