Organization
FLOWE NURSING ANESTHESIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CODY FLOWE CRNA (OWNER)
(805) 850-9792
Entity
Organization
Contact information
Practice address
12828 HARBOR BLVD, STE 210, GARDEN GROVE, CA 92840-5831
(714) 741-3200
(949) 582-3786
Mailing address
503 16TH ST, HUNTINGTON BEACH, CA 92648-4013
(805) 850-9792
(949) 582-3786
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA3764
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA3764
CA LICENSE
CA
Enumeration date
02/07/2012
Last updated
02/07/2012
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