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MICHELLE LIDVALL, CRNA

CRNA

Certified Registered Nurse Anesthetist

NPI: 1659789410IndividualAccepts Medicare

Specialties, Licenses & Credentials

Registered Nurse

Registered Nurse

Code: 163W00000X

041385084(IL)
Certified Registered Nurse AnesthetistPrimary

Nurse Anesthetist, Certified Registered

Code: 367500000X

209.011831(IL)

CMS Specialties

PrimaryCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)

Education

OTHER

Class of 2014

Contact & Hours

Address
221 NE GLEN OAK AVE
PEORIA, IL 61636

Quick Facts

NPI
1659789410
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
12

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