Individual
SVETLANA IVANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
738 WASHINGTON ST, ATTLEBORO, MA 02703-6948
(508) 761-6025
Mailing address
32 MARBURY AVE, PAWTUCKET, RI 02860-6102
(401) 580-8419
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN244569
MA
Other
Enumeration date
12/30/2005
Last updated
11/12/2024
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