Healthcare Provider Details

I. General information

NPI: 1326327958
Provider Name (Legal Business Name): HEATHER DAY CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2011
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

521 ADAMS AVE
MORTON WA
98356-9323
US

IV. Provider business mailing address

2269 FOREST HILLS DR
COOS BAY OR
97420-2031
US

V. Phone/Fax

Practice location:
  • Phone: 360-496-5112
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAP70105234
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number201702673CRNA
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number0024170966
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: