Individual
MICHELLE KEIZERWEERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7365 MAIN ST, SUITE 310, STRATFORD, CT 06614-1300
(203) 384-3174
(203) 384-4619
Mailing address
7365 MAIN ST, SUITE 310, STRATFORD, CT 06614-1300
(203) 384-3174
(203) 384-4619
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
084154
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
004513
CT
367500000X
Certified Registered Nurse Anesthetist
559658
NY
Other
Enumeration date
06/17/2010
Last updated
11/04/2022
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