Individual
ANGEL SIDELL
Active
Individual
ANGEL SIDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
202211488CRNA-PP
OR
367500000X
Certified Registered Nurse Anesthetist
390200000X
OR
Other
Enumeration date
06/28/2019
Last updated
09/16/2022
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