Individual
MS. PATRICIA JANE KWIATKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5530 WISCONSIN AVE STE 1620, CHEVY CHASE, MD 20815-4322
(301) 718-9800
(301) 986-4322
Mailing address
5530 WISCONSIN AVE STE 1620, CHEVY CHASE, MD 20815-4322
(301) 718-9800
(301) 986-4322
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN166604L
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007636035
—
PA
01
—
050514
MEDICARE GROUP #
PA
01
—
RN166604L
RN LICENSE
PA
Enumeration date
02/14/2006
Last updated
03/08/2019
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