Individual
LOREN KRUMBHOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1500 RICARDO AVE, FORT MYERS, FL 33901-6845
(239) 443-8070
Mailing address
1500 RICARDO AVE, FORT MYERS, FL 33901-6845
(239) 443-8070
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 9265771
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN9265771
FL
Other
Enumeration date
02/18/2014
Last updated
05/29/2019
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