Individual
BRYAN WILLIAM LEUENHAGEN
Active
Individual
BRYAN WILLIAM LEUENHAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
N31597
ID
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA538
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806473500
—
ID
Enumeration date
05/26/2006
Last updated
09/29/2023
Update your record
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