Individual
MICHELLE DETERDING
Active
Individual
MICHELLE DETERDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041382122
IL
163W00000X
Registered Nurse
1147870
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
11006456
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11006456
FL
Other
Enumeration date
11/14/2019
Last updated
08/24/2026
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