Brock J Amos in Vancouver - Nurse Anesthetist, Certified Registered
Brock J Amos - NPI 1295807717
Brock J Amos is a Nurse Anesthetist, Certified Registered in Vancouver, Washington. Brock J Amos practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Brock J Amos is 1295807717. The last update date is 2016-02-15.
Brock J Amos's current location address is 1115 Se 164th Ave, Vancouver, Washington. You can contact this provider via phone number 3607291462 and fax number 3607293104. The mailing address for Brock J Amos is 1115 Se 164th Ave, Vancouver, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brock J Amos |
|---|---|
| Address | 1115 Se 164th Ave, Vancouver, Washington |
| Phone Number | 3607291462 |
| Fax Number | 3607293104 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1295807717 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2016-02-15 |
Provider Mailing Address Detail
| Address | 1115 Se 164th Ave |
|---|---|
| City | Vancouver |
| State | Washington (WA) |
| Post Code | 986839324 |
| Phone Number | 3607291462 |
| Fax Number | 3607293104 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | AP60410232 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2038923 | WA | -- | |
| G8937842 | OR | -- |
Post Comment/ Review Below
What is the Brock J Amos's unique identification number?
The Brock J Amos has been assigned the NPI (National Provider Identifier) Number 1295807717 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Brock J Amos's physical address?
The Brock J Amos is physically located at 1115 Se 164Th Ave, in the city of Vancouver, WA, with the postal code 986839324.
What is the Brock J Amos's specialty and taxonomy code?
The Brock J Amos's specialty is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code is 367500000X.
On what date did the Brock J Amos receive the assignment of its 1295807717 from the Centers for Medicare & Medicaid Services?
The Brock J Amos was issued its 1295807717 by the Centers for Medicare & Medicaid Services on 2006-11-14.
When was the information pertaining to Brock J Amos most recently updated or revised?
The details related to Brock J Amos, including its address, specialty, and other relevant information, were last updated or revised on 2016-02-15.