Sintahyu Mulata, CRNA | |
11456 South Broadway, Crown Point, IN 46307-7106 | |
(219) 948-8015 | |
(219) 661-1408 |
Full Name | Sintahyu Mulata |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 11456 South Broadway, Crown Point, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477620508 | NPI | - | NPPES |
000000189991 | Other | IN | BCBS OF INDIANA |
209003179 | Other | IL | BCBSIL |
20043140A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 28074199A (Indiana) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 430060834 (Illinois) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Sintahyu Mulata, CRNA 11456 South Broadway, Crown Point, IN 46307-7106 Ph: (219) 948-8015 | Sintahyu Mulata, CRNA 11456 South Broadway, Crown Point, IN 46307-7106 Ph: (219) 948-8015 |
Timothy J Dykstra, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1201 N Main St, Crown Point, IN 46307 Phone: 219-757-6077 | |
Lenny Olivares, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9301 Connecticut Drive, Crown Point, IN 46307 Phone: 219-756-2100 | |
Mr. Mark Anthony Toth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2555 Harvest Dr, Crown Point, IN 46307 Phone: 219-743-9794 | |
David Velasco, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1201 S Main St, Crown Point, IN 46307 Phone: 219-757-6390 | |
Mary E Means, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1201 S Main St, Crown Point, IN 46307 Phone: 219-757-6077 Fax: 219-757-6261 | |
Mr. Jerry Lee Stuffle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8673 Calhoun Pl, Crown Point, IN 46307 Phone: 219-365-7954 |