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NPI Code Detail

MEDICARE: MRS. TERESITA ALVIAR OANDASAN CRNA

MEDICARE: MRS. TERESITA ALVIAR OANDASAN 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
1367500000XCertified Registered Nurse Anesthetist1920CA

General Provider Information

NPI Number : 1134290422
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TERESITA ALVIAR OANDASAN CRNA
Provider Business Mailing Address
First Line : 5095 HAMPTON CT
Second Line :
City : GRANITE BAY
State : CA
Zip : 95746-6687
Country : US
Telephone Number : 916-759-9191
Fax Number :
Provider Business Practice Location Address
First Line : 11216 TRINITY RIVER DR
Second Line :
City : RANCHO CORDOVA
State : CA
Zip : 95670-2968
Country : US
Telephone Number : 916-759-9191
Fax Number : 916-631-2968
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2006
Last Update Date : 06/04/2025

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