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NPI Code Detail

MEDICARE: MS. CAROL Y SLIVA CRNA

MEDICARE: MS. CAROL Y SLIVA 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 AnesthetistARNP1390372FL
2367500000XCertified Registered Nurse AnesthetistNA2622CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ZZZ07277ZOTHERCABLUE SHIELD OF CA

General Provider Information

NPI Number : 1235198524
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CAROL Y SLIVA CRNA
Provider Business Mailing Address
First Line : PO BOX 7096
Second Line :
City : STOCKTON
State : CA
Zip : 95267-0096
Country : US
Telephone Number : 209-956-7725
Fax Number : 209-956-7733
Provider Business Practice Location Address
First Line : 2755 HERNDON AVE
Second Line :
City : CLOVIS
State : CA
Zip : 93611-6800
Country : US
Telephone Number : 559-324-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2006
Last Update Date : 08/14/2012

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