MEDICARE: JILL B GUTTMAN 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	163W00000X	Registered Nurse	RN44766	NV
2	163W00000X	Registered Nurse	RN-278073	OH
3	163W00000X	Registered Nurse	633042	CA
4	367500000X	Certified Registered Nurse Anesthetist	CRNA000250	NV
5	367500000X	Certified Registered Nurse Anesthetist	NA-07129	OH
6	367500000X	Certified Registered Nurse Anesthetist	3086	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306928866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JILL B GUTTMAN CRNA

Provider Business Mailing Address
First Line	:	7660 COWBOY TRL
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-2129
Country	:	US
Telephone Number	:	702-839-4506
Fax Number	:

Provider Business Practice Location Address
First Line	:	7660 COWBOY TRL
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-2129
Country	:	US
Telephone Number	:	702-743-4822
Fax Number	:

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

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	02/29/2008

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Directions to “ JILL B GUTTMAN CRNA” Practice Location

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