Individual
TANIA B. DERINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664
(360) 828-5396
(360) 828-5455
Mailing address
505 NE 87TH AVE STE 210, VANCOUVER, WA 98664-1988
(360) 828-5396
(360) 828-5455
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
679538
TX
367500000X
Certified Registered Nurse Anesthetist
073844
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60833974
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093755860
—
WA
01
—
G8978899
MEDICARE
WA
Enumeration date
06/08/2006
Last updated
06/22/2018
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