Organization
COMFORT CARE ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAWYANA MAE FLEMING CRNA (CRNA)
(301) 497-9944
Entity
Organization
Contact information
Practice address
10512 TWIN CEDAR CT, LAUREL, MD 20723-5721
(301) 497-9944
Mailing address
10512 TWIN CEDAR CT, LAUREL, MD 20723-5721
(301) 497-9944
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1499
SC
367500000X
Certified Registered Nurse Anesthetist
180984
NC
367500000X
Certified Registered Nurse Anesthetist
35280
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
R143442
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
469P
MEDICARE
MD
01
—
47TCTM
CAREFIRST
MD
01
—
DG3055
RAILROAD MEDICARE
GA
Enumeration date
04/16/2007
Last updated
04/01/2008
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