Healthcare Provider Details

I. General information

NPI: 1497278949
Provider Name (Legal Business Name): GARRETT S HILT CERTIFIED REGISTERED NURSING ANESTHESIA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2017
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2120 19TH ST
BAKERSFIELD CA
93301-3709
US

IV. Provider business mailing address

13215 MILAN DR
BAKERSFIELD CA
93306-7664
US

V. Phone/Fax

Practice location:
  • Phone: 661-698-0620
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: GARRETT S HILT
Title or Position: PRESIDENT
Credential: CRNA
Phone: 775-747-5050