MEDICARE: ALESIA QUANTE 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
1	367500000X	Certified Registered Nurse Anesthetist	053498	FL

General Provider Information

NPI Number	:	1144233768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALESIA QUANTE CRNA

Provider Business Mailing Address
First Line	:	1037 MARINA DR
Second Line	:
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-3999
Country	:	US
Telephone Number	:	561-951-1300
Fax Number	:

Provider Business Practice Location Address
First Line	:	1037 MARINA DR
Second Line	:
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-3999
Country	:	US
Telephone Number	:	561-951-1300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2006
Last Update Date	:	09/11/2007

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