Healthcare Provider Details

I. General information

NPI: 1881656528
Provider Name (Legal Business Name): ARLEEN DENISE KROEHLE C.R.N.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2006
Last Update Date: 05/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 N BYRON BUTLER PKWY
PERRY FL
32347-2300
US

IV. Provider business mailing address

2457 FRANKS FAIR LN
PERRY FL
32347-0162
US

V. Phone/Fax

Practice location:
  • Phone: 850-584-0876
  • Fax:
Mailing address:
  • Phone: 850-584-9549
  • Fax: 850-223-1354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP1380702
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: