Kiersten Ashleigh De La Vega, RN | |
10325 Sw 20th St, Davie, FL 33324-7428 | |
(954) 474-5577 | |
Not Available |
Full Name | Kiersten Ashleigh De La Vega |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 10325 Sw 20th St, Davie, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922679554 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN9439898 (Florida) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | APRN11024128 (Florida) | Primary |
Entity Name | Cleveland Clinic Florida (a Nonprofit Corporation) |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215989298 PECOS PAC ID: 7911807128 Enrollment ID: O20040113000394 |
Entity Name | Anesco North Broward Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699763862 PECOS PAC ID: 3173436094 Enrollment ID: O20040225000118 |
Mailing Address | Practice Location Address |
---|---|
Kiersten Ashleigh De La Vega, RN 10325 Sw 20th St, Davie, FL 33324-7428 Ph: () - | Kiersten Ashleigh De La Vega, RN 10325 Sw 20th St, Davie, FL 33324-7428 Ph: (954) 474-5577 |
Frances Noziere, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3470 Southern Orchard Rd E, Davie, FL 33328 Phone: 786-564-8918 | |
Rodica Chery, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3476 S University Dr, Davie, FL 33328 Phone: 954-475-4400 | |
Dr. Anh Thuy Tran-jamette, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3476 S University Dr, Davie, FL 33328 Phone: 954-475-4400 | |
Viviane Vicente Dean, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8305 Sw 26th Pl, Davie, FL 33328 Phone: 305-343-1766 |