| My Le, CRNA | |
|
1700 13th St, Everett, WA 98201-1689 | |
| (425) 261-2000 | |
| Not Available |
| Full Name | My Le |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1700 13th St, Everett, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184433997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 152475 (Washington) | Primary |
| 163W00000X | Registered Nurse | 9330924 (Florida) | Secondary |
| Entity Name | Providence Wa Anesthesia Services, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669615894 PECOS PAC ID: 9335298884 Enrollment ID: O20090513000135 |
| Mailing Address | Practice Location Address |
|---|---|
| My Le, CRNA 1102 Olympic Ct, Oak Harbor, WA 98277-3301 Ph: (858) 699-7042 | My Le, CRNA 1700 13th St, Everett, WA 98201-1689 Ph: (425) 261-2000 |
Edward R Bauer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3927 Rucker Ave, Everett, WA 98201 Phone: 425-259-0966 | |
Mr. Randy R. Graybeal, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1321 Colby Ave, Everett, WA 98201 Phone: 425-261-2000 Fax: 425-261-4462 | |
Eileen Mary Smith, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1700 13th St, Everett, WA 98201 Phone: 917-370-6104 | |
Mr. Jonathan Lee Pinson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1700 13th St, Everett, WA 98201 Phone: 425-261-2000 | |
Joshua Barker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1700 13th St, Everett, WA 98201 Phone: 425-261-2000 | |
Daniel Carnahan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1700 13th St, Everett, WA 98201 Phone: 425-261-2000 |