| Daniel Develde, CRNA | |
|
901 Mt View Dr, Shelton, WA 98584-4401 | |
| (360) 426-1611 | |
| Not Available |
| Full Name | Daniel Develde |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 901 Mt View Dr, Shelton, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851353288 | NPI | - | NPPES |
| DE3509 | Other | WA | BLUE CROSS OF WA |
| 9624859 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN00082710 (Washington) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP30005186 (Washington) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Develde, CRNA 400 E 10th St, Waconia, MN 55387-4552 Ph: (952) 442-9770 | Daniel Develde, CRNA 901 Mt View Dr, Shelton, WA 98584-4401 Ph: (360) 426-1611 |
Deborah A Hartley, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 901 Mt View Dr, Building 1, Shelton, WA 98584 Phone: 360-426-1611 |