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NPI Code Detail

MEDICARE: PAUL ANDREW VALENTINE CRNA

MEDICARE: PAUL ANDREW VALENTINE 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 Anesthetist1-149371AL
2367500000XCertified Registered Nurse AnesthetistAPN.0999322-CRNACO
3367500000XCertified Registered Nurse Anesthetist1024062TX

General Provider Information

NPI Number : 1184262123
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL ANDREW VALENTINE CRNA
Provider Business Mailing Address
First Line : 633 TIERRA VERDE CT
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80904-2584
Country : US
Telephone Number : 850-454-9901
Fax Number :
Provider Business Practice Location Address
First Line : 1375 E 19TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80218-1114
Country : US
Telephone Number : 303-812-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2019
Last Update Date : 02/03/2026

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