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Individual

MS. KRISTI LEE MEDILL

Active
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Individual

MS. KRISTI LEE MEDILL

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
022831-23-11
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1005743
VT
Enumeration date
06/30/2006
Last updated
10/25/2011
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