Individual
MISS KRISTIN MARIE SHUDTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5801 BREMO RD, RICHMOND, VA 23226-1907
(804) 285-2011
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-3115
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024175893
VA
367500000X
Certified Registered Nurse Anesthetist
APRN01534
RI
Other
Enumeration date
02/04/2017
Last updated
04/02/2018
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