Individual
MRS. JENNIFER ROSS TANGUAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
4564 SOMERSET BLVD SE, BELLEVUE, WA 98006-2220
(817) 908-7161
Mailing address
4564 SOMERSET BLVD SE, BELLEVUE, WA 98006-2220
(817) 908-7161
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
041358503
IL
367500000X
Certified Registered Nurse Anesthetist
60215565
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60215565
WA
Other
Enumeration date
05/11/2007
Last updated
10/23/2024
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