Individual
SABLE AUDRY YRJANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28229534A
IN
367500000X
Certified Registered Nurse Anesthetist
APRN11021194
FL
367500000X
Certified Registered Nurse Anesthetist
LE-00038003
OH
Other
Enumeration date
08/27/2021
Last updated
05/28/2024
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