MEDICARE: MS. ANDREA GULASI 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	2407240	FL

General Provider Information

NPI Number	:	1447382718
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANDREA GULASI CRNA

Provider Business Mailing Address
First Line	:	1510 LAFAYETTE STREET
Second Line	:	#D
City	:	CAPE CORAL
State	:	FL
Zip	:	33904
Country	:	US
Telephone Number	:	304-224-9040
Fax Number	:

Provider Business Practice Location Address
First Line	:	2721 DEL PRADO BLVD
Second Line	:	CAPE CORAL SURGERY CENTER SUITE 100
City	:	CAPE CORAL
State	:	FL
Zip	:	33904
Country	:	US
Telephone Number	:	239-242-8010
Fax Number	:	239-242-8020

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

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	07/08/2007

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