Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHELLE LIDVALL, CRNA
ActiveMICHELLE LIDVALL, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in PEORIA, Illinois. NPI 1659789410 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · PEORIA, IL
Registration Details
- NPI Number
- 1659789410
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 24, 2014 (12.042612341366 yrs)
- Last Updated
- Dec 29, 2014
- Licenses
-
041385084 (IL)209.011831 (IL)
Practice Information
- Address
-
221 NE GLEN OAK AVEPEORIA, IL, 616360001Browse IL providers · Browse ZIP 61636
- Phone
- 3096725522
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
Other Certified Nurse Anesthetist (CRNA) Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| ANN M WILLEMSEN-DUNLAP | CRNA | 1699761726 |
| TIMOTHY JAMES SAMOLITIS | CRNA | 1588651566 |
| DARYL CHENOWETH | CRNA | 1902871312 |
| MR. MICHAEL ERICKSON | CRNA | 1902874696 |
| EMILIE HUBBERT | CRNA | 1285602615 |
| MR. LARRY J KOTEWA | CRNA | 1942278130 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.