Individual
ANNA DEERING MADONNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CRNA
Contact information
Practice address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-1000
Mailing address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-1000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
788349
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
112876
CA
Other
Enumeration date
03/08/2017
Last updated
01/03/2022
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