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STORMY LYNN ZWIEFEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
800 E CARPENTER ST, SPRINGFIELD, IL 62702
(217) 525-5643
(217) 544-2521
Mailing address
800 E CARPENTER ST, SPRINGFIELD, IL 62702-5324
(217) 525-5643
(217) 544-2521

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209006977
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
079202
AANA CERTIFICATION NUMBER
Enumeration date
01/29/2008
Last updated
05/15/2018
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