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NPI Code Detail

MEDICARE: CHARLIE CHIA HSUN HONG CRNA

MEDICARE:   CHARLIE CHIA HSUN HONG  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 Anesthetist209.014002IL
2367500000XCertified Registered Nurse AnesthetistRN620237PA
3367500000XCertified Registered Nurse AnesthetistD139273IA

General Provider Information

NPI Number : 1558662478
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLIE CHIA HSUN HONG CRNA
Provider Business Mailing Address
First Line : 1700 S 1ST AVE STE 25A
Second Line :
City : IOWA CITY
State : IA
Zip : 52240-6036
Country : US
Telephone Number : 319-849-8114
Fax Number : 319-333-0624
Provider Business Practice Location Address
First Line : 1700 S 1ST AVE STE 25A
Second Line :
City : IOWA CITY
State : IA
Zip : 52240-6036
Country : US
Telephone Number : 319-849-8114
Fax Number : 319-333-0624
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2010
Last Update Date : 06/22/2021

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Directions to “ CHARLIE CHIA HSUN HONG CRNA” Practice Location

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