Individual
KRAIG A MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
530 PARK AVE E STE 201, PRINCETON, IL 61356-2598
(815) 875-2811
Mailing address
530 PARK AVE E, PRINCETON, IL 61356-2598
(815) 780-4040
(815) 780-1940
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
142331-030
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
209-003881
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046210
CRNA RECERTIFICATION CARD
—
05
—
209003881
—
IL
Enumeration date
12/13/2005
Last updated
10/13/2020
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