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NPI Code Detail

MEDICARE: SANDRA LYNN KRUG CRNA

MEDICARE:   SANDRA LYNN KRUG  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
1367500000XCertified Registered Nurse AnesthetistARNP9258876FL
2367500000XCertified Registered Nurse AnesthetistR859714MS
3367500000XCertified Registered Nurse AnesthetistRN106813LA

General Provider Information

NPI Number : 1760690556
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA LYNN KRUG CRNA
Provider Business Mailing Address
First Line : 6204 VERNA BETHANY RD
Second Line :
City : MYAKKA CITY
State : FL
Zip : 34251-2032
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6204 VERNA BETHANY RD
Second Line :
City : MYAKKA CITY
State : FL
Zip : 34251-2032
Country : US
Telephone Number : 941-322-9405
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2007
Last Update Date : 07/08/2007

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Directions to “ SANDRA LYNN KRUG CRNA” Practice Location

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