MEDICARE: SENTINEL ANESTHESIA, LLC

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

General Provider Information

NPI Number	:	1174822977
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENTINEL ANESTHESIA, LLC

Provider Business Mailing Address
First Line	:	4419 31ST AVE W
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98199-1435
Country	:	US
Telephone Number	:	206-920-3990
Fax Number	:

Provider Business Practice Location Address
First Line	:	4419 31ST AVE W
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98199-1435
Country	:	US
Telephone Number	:	206-920-3990
Fax Number	:

Authorized Official
Title or Position	:	CRNA
Name	:	DOROTA WARD
Credential	:	CRNA
Telephone Number	:	206-920-3990

Provider Enumeration Date	:	03/18/2011
Last Update Date	:	01/09/2026

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