Healthcare Provider Details

I. General information

NPI: 1851643068
Provider Name (Legal Business Name): EMILY TREPPENDAHL CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY ELKINS CRNA

II. Dates (important events)

Enumeration Date: 10/11/2012
Last Update Date: 03/14/2024
Certification Date: 03/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 UPPER RAGSDALE DR STE 100
MONTEREY CA
93940-7849
US

IV. Provider business mailing address

416B MAIN ST
SALINAS CA
93901-3306
US

V. Phone/Fax

Practice location:
  • Phone: 831-375-3577
  • Fax:
Mailing address:
  • Phone: 831-800-7887
  • Fax: 831-998-7155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number797156
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: