Healthcare Provider Details

I. General information

NPI: 1720143357
Provider Name (Legal Business Name): SASKIA VANAAREM CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 03/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3235 SW 34TH ST
OCALA FL
34474-7439
US

IV. Provider business mailing address

9879 SW 89TH LANE RD
OCALA FL
34481-5576
US

V. Phone/Fax

Practice location:
  • Phone: 352-867-8898
  • Fax: 866-665-2702
Mailing address:
  • Phone: 240-449-9253
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN963625
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberR151774
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number0024164753
License Number StateVA
# 4
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number9306448
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: