Ms Indra Johansson-matthews, CRNA | |
401 Bicentennial Way, Santa Rosa, CA 95403-2149 | |
(707) 571-4000 | |
Not Available |
Full Name | Ms Indra Johansson-matthews |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 401 Bicentennial Way, Santa Rosa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1033278858 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 1597 (California) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | RN366332 (California) | Secondary |
Entity Name | Premier Anesthesia Of California Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770691859 PECOS PAC ID: 5092897025 Enrollment ID: O20080130000444 |
Entity Name | M Atchison Crna Inc A Professional Nursing Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073542213 PECOS PAC ID: 7416094461 Enrollment ID: O20091022000662 |
Mailing Address | Practice Location Address |
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Ms Indra Johansson-matthews, CRNA 401 Bicentennial Way, Santa Rosa, CA 95403-2149 Ph: (707) 571-4000 | Ms Indra Johansson-matthews, CRNA 401 Bicentennial Way, Santa Rosa, CA 95403-2149 Ph: (707) 571-4000 |
Delilah Patterson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-393-4616 | |
Mr. Dennis Eugene Oliver, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Kaiser Hospital, Santa Rosa, CA 95403 Phone: 707-571-4616 Fax: 707-571-3144 | |
Ramona Jane Chandler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way Dept Of, Santa Rosa, CA 95403 Phone: 707-393-4000 | |
Mr. Gregory Lorne Groeneveld, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 170-571-4000 Fax: 707-836-0173 | |
Mr. Krishneel Lall, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-393-4000 | |
Mrs. Merri Beth Callender, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial, Kaiser, Santa Rosa, CA 95403 Phone: 707-571-4616 |