Individual
STEPHANIE ANN KAMSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
179425
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134287
NATIONAL BOARD OF CERTIFICATION RECERTIFICATION FOR NURSE ANESTHETISTS
—
Enumeration date
07/15/2021
Last updated
02/06/2023
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