Ann C Van Valkenburg, CRNA | |
400 W 16th St, Pueblo, CO 81003-2745 | |
(719) 543-7877 | |
(719) 543-7882 |
Full Name | Ann C Van Valkenburg |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 400 W 16th St, Pueblo, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164420543 | NPI | - | NPPES |
07978612 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 97861 (Colorado) | Primary |
Entity Name | Anesthesia & Pain Management Services Of Pueblo |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639255409 PECOS PAC ID: 2961301783 Enrollment ID: O20031231000222 |
Entity Name | Parkview Ancillary Services Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982878765 PECOS PAC ID: 4385722511 Enrollment ID: O20080429000248 |
Mailing Address | Practice Location Address |
---|---|
Ann C Van Valkenburg, CRNA 1218 N Main St, Pueblo, CO 81003-2828 Ph: (719) 543-7877 | Ann C Van Valkenburg, CRNA 400 W 16th St, Pueblo, CO 81003-2745 Ph: (719) 543-7877 |
Lara Kjurston Knowles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-584-4000 | |
Malena Calle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-584-7305 | |
Michael R. Herron, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1008 Minnequa Ave, Pueblo, CO 81004 Phone: 719-560-5717 | |
Elizabeth Dias Morphis, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-584-4000 | |
Mr. James Guzan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 112 W D St, Suite 210a, Pueblo, CO 81003 Phone: 330-442-3547 | |
Mr. Kristopher A. Black, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1008 Minnequa Ave, Or/anesthesiology, Pueblo, CO 81004 Phone: 719-557-3824 Fax: 719-557-3834 | |
Timothy Floyd, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-584-4000 |