Mark R Holmberg in Seattle - Nurse Anesthetist, Certified Registered

Mark R Holmberg - NPI 1790763233

Mark R Holmberg is a Nurse Anesthetist, Certified Registered in Seattle, Washington. Mark R Holmberg practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Mark R Holmberg is 1790763233. The last update date is 2015-03-12.

Mark R Holmberg's current location address is 2415 Western Ave, Seattle, Washington. You can contact this provider via phone number 6127415259. The mailing address for Mark R Holmberg is 2415 Western Ave, Seattle, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark R Holmberg
Address 2415 Western Ave, Seattle, Washington
Phone Number 6127415259
Fax Number
Sole Proprietor N
Credentials C.R.N.A.

NPI Number Detail

NPI Number 1790763233
Provider Enumeration Date 2006-01-05
Last Updated Date 2015-03-12

Provider Mailing Address Detail

Address 2415 Western Ave
City Seattle
State Washington (WA)
Post Code 981211394
Phone Number 6127415259
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No R 154503-0
Definition:
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5069HO WA BLUE SHIELD #
RNA0011 WA ALASKA DSHS
P00444040 WA RAILROAD MC #
9653981 WA --

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FAQs about Mark R Holmberg

What is the unique provider identifier assigned to Mark R Holmberg?

The Mark R Holmberg has been issued the NPI (National Provider Identifier) 1790763233 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Mark R Holmberg is physically located?

The Mark R Holmberg is physically situated at the following address: 2415 Western Ave, Seattle, WA, 981211394.

What is Mark R Holmberg's specialized field of practice, and what is the corresponding taxonomy classification code?

The Mark R Holmberg's area of specialization is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this field of practice is 367500000X.

On what date did the Mark R Holmberg receive the assignment of its 1790763233 from the Centers for Medicare & Medicaid Services?

The Mark R Holmberg was issued its 1790763233 by the Centers for Medicare & Medicaid Services on 2006-01-05.

When was the information related to Mark R Holmberg most recently updated or refreshed?

The details pertaining to the Mark R Holmberg, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-03-12.

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