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NPI Code Detail

MEDICARE: ARTI O TANGEDA CRNA

MEDICARE: ARTI O TANGEDA 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 Anesthetist0024165609VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00323745OTHERVARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2K142-0002OTHERVACARE FIRST 2005
3139230OTHERVATRIGON
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518942838
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARTI O TANGEDA CRNA
Provider Business Mailing Address
First Line : PO BOX 37090
Second Line :
City : BALTIMORE
State : MD
Zip : 21297-3090
Country : US
Telephone Number : 703-295-9360
Fax Number : 703-295-9369
Provider Business Practice Location Address
First Line : 2501 PARKERS LN
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22306-3209
Country : US
Telephone Number : 703-295-9360
Fax Number : 703-295-9369
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2005
Last Update Date : 03/03/2008

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Directions to “ ARTI O TANGEDA CRNA” Practice Location

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