Individual
NANCY N UDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-1111
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-1111
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0664
AZ
367500000X
Certified Registered Nurse Anesthetist
RN081926
AZ
Other
Enumeration date
01/22/2010
Last updated
05/07/2024
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