Individual
MRS. HEATHER MARIE KONIECZNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
154923-030
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
154923-030
WI
Other
Enumeration date
02/19/2008
Last updated
09/23/2010
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