Dr Deborah J Mauro, CRNA | |
414 6th Ave, Tacoma, WA 98402-2332 | |
(253) 260-7060 | |
Not Available |
Full Name | Dr Deborah J Mauro |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 414 6th Ave, Tacoma, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447203328 | NPI | - | NPPES |
9650623 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN0083064 (Washington) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | AP30006495 (Washington) | Primary |
Entity Name | The Aesthetic Surgery Centre Pllc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1821379538 PECOS PAC ID: 4688841851 Enrollment ID: O20120111000979 |
Mailing Address | Practice Location Address |
---|---|
Dr Deborah J Mauro, CRNA 38021 Bay St Ne, Hansville, WA 98340-7736 Ph: (208) 596-3535 | Dr Deborah J Mauro, CRNA 414 6th Ave, Tacoma, WA 98402-2332 Ph: (253) 260-7060 |
Michael John Means, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2235 | |
Mr. Andrew J Irizarry, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 330-509-3934 | |
Matthew Libid, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 203-768-5053 | |
Mrs. Elizabeth Katherine Mary Pulatie, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9040 A Reid St, Tacoma, WA 98431 Phone: 253-968-1110 | |
Ms. Lisa Ann Petty, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2252 Fax: 253-968-3278 | |
Mr. Andrey Bobrovnikov, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1717 S J St, Tacoma, WA 98405 Phone: 253-426-6341 Fax: 253-426-6344 | |
Craig Andrew Swank, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3209 S 23rd St, Suite 340, Tacoma, WA 98405 Phone: 253-503-2598 Fax: 253-404-0506 |