Individual
YASMANI LEYVA ECHEVARRIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
489 STATE ST, BANGOR, ME 04401-6616
(207) 973-7000
Mailing address
455 HARLOW ST, BANGOR, ME 04401-4917
(207) 992-4032
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN292794
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
143736
GA
Other
Enumeration date
12/23/2022
Last updated
12/23/2022
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