MEDICARE: KIRSTYN INDGJER CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	2074	MN
2	367500000X	Certified Registered Nurse Anesthetist	670477	NY
3	367500000X	Certified Registered Nurse Anesthetist	11019520	FL
4	367500000X	Certified Registered Nurse Anesthetist	907485	TX
5	363L00000X	Nurse Practitioner	APRN11019520	FL

General Provider Information

NPI Number	:	1740669787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIRSTYN INDGJER CRNA

Provider Business Mailing Address
First Line	:	2001 N OCEAN BLVD APT 404S
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33305-3753
Country	:	US
Telephone Number	:	917-932-6132
Fax Number	:

Provider Business Practice Location Address
First Line	:	1314 E LAS OLAS BLVD
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33301-2334
Country	:	US
Telephone Number	:	305-360-5083
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2015
Last Update Date	:	02/27/2026

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