MEDICARE: MONICA NATIVIDAD CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	AP129828	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	355247302	OTHER	TX	CSHCN

General Provider Information

NPI Number	:	1568829521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA NATIVIDAD CRNA

Provider Business Mailing Address
First Line	:	6104 BELFAST DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78723-1835
Country	:	US
Telephone Number	:	210-364-7821
Fax Number	:

Provider Business Practice Location Address
First Line	:	6104 BELFAST DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78723-1835
Country	:	US
Telephone Number	:	210-364-7821
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2016
Last Update Date	:	05/20/2024

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Directions to “ MONICA NATIVIDAD CRNA” Practice Location

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