Individual
JENNIFER BRYDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
425 PINE RIDGE BLVD STE 211, WAUSAU, WI 54401-4123
(715) 845-5505
Mailing address
PO BOX 1005, WAUSAU, WI 54402-1005
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
256198-30
WI
367500000X
Certified Registered Nurse Anesthetist
28180762A
IN
Other
Enumeration date
07/07/2017
Last updated
03/18/2021
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