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NPI Code Detail

MEDICARE: MRS. KIRSTEN ANN SAVOIE CRNA

MEDICARE: MRS. KIRSTEN ANN SAVOIE 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
1163W00000XRegistered NurseRN60644573WA
2367500000XCertified Registered Nurse AnesthetistAP60638437WA

General Provider Information

NPI Number : 1750351938
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KIRSTEN ANN SAVOIE CRNA
Provider Business Mailing Address
First Line : 505 NE 87TH AVE
Second Line :
City : VANCOUVER
State : WA
Zip : 98664-1989
Country : US
Telephone Number : 360-828-5396
Fax Number : 360-828-5455
Provider Business Practice Location Address
First Line : 2211 NE 139TH ST
Second Line :
City : VANCOUVER
State : WA
Zip : 98686-2742
Country : US
Telephone Number : 360-828-5396
Fax Number : 360-828-5455
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2006
Last Update Date : 04/26/2016

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Directions to “ MRS. KIRSTEN ANN SAVOIE CRNA” Practice Location

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