Individual
MR. ANDREW J IRIZARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(330) 509-3934
Mailing address
3116 HARTS LAKE RD S, ROY, WA 98580-9105
(330) 509-3934
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95001692
CA
367500000X
Certified Registered Nurse Anesthetist
AP61080718
WA
367500000X
Certified Registered Nurse Anesthetist
APRN.CRNA.0021021
OH
Other
Enumeration date
01/18/2019
Last updated
06/13/2024
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