Individual
JASON L TRUDELL
Active
Individual
JASON L TRUDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN534440
NY
367500000X
Certified Registered Nurse Anesthetist
077275
NY
367500000X
Certified Registered Nurse Anesthetist
5344401
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP 9278749
FL
Other
Enumeration date
08/31/2006
Last updated
07/05/2011
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