Paul Vriesenga in Maitland - Nurse Anesthetist, Certified Registered

Paul Vriesenga - NPI 1619124880

Paul Vriesenga is a Nurse Anesthetist, Certified Registered in Maitland, Florida. Paul Vriesenga practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Paul Vriesenga is 1619124880. The last update date is 2008-08-19.

Paul Vriesenga's current location address is 291 Southhall Lane, Maitland, Florida. You can contact this provider via phone number 4076670444 and fax number 4076674338. The mailing address for Paul Vriesenga is 291 Southhall Lane, Maitland, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Paul Vriesenga
Address 291 Southhall Lane, Maitland, Florida
Phone Number 4076670444
Fax Number 4076674338
Sole Proprietor N
Credentials CRNA

NPI Number Detail

NPI Number 1619124880
Provider Enumeration Date 2008-08-19
Last Updated Date 2008-08-19

Provider Mailing Address Detail

Address 291 Southhall Lane
City Maitland
State Florida (FL)
Post Code 32751
Phone Number 4076670444
Fax Number 4076674338

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No ARNP9218591
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
PENDING FL --
PENDING FL BCBS

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FAQs about Paul Vriesenga

What is the unique 10-digit identifier code issued to Paul Vriesenga by the Centers for Medicare & Medicaid Services?

The Paul Vriesenga has been assigned the NPI (National Provider Identifier) 1619124880 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Paul Vriesenga is physically located?

The Paul Vriesenga is physically situated at the following address: 291 Southhall Lane, Maitland, FL, 32751.

What is Paul Vriesenga's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Paul Vriesenga is Nurse Anesthetist, Certified Registered, and the taxonomy code that categorizes this field of expertise is 367500000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1619124880 to Paul Vriesenga?

The Centers for Medicare & Medicaid Services originally issued the 1619124880 to Paul Vriesenga on 2008-08-19.

As of what date were the details related to Paul Vriesenga most recently updated or revised?

The information pertaining to Paul Vriesenga, including its address, specialty, and other relevant details, was last updated or revised on 2008-08-19.

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