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Individual

ALYSSA KRUDY-NEWBY

Active
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Individual

ALYSSA KRUDY-NEWBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704287740
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4704287740
MICHIGAN CRNA LICENSE
MI
Enumeration date
12/29/2016
Last updated
04/14/2020
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