Organization
AIRWAYMATIC NURSING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA J PRANGE CRNA (CEO)
(949) 588-2190
Entity
Organization
Contact information
Practice address
4500 BROCKTON AVE STE 105, RIVERSIDE, CA 92501-4006
(951) 784-4088
(951) 784-4089
Mailing address
5 HOLLAND STE 101, IRVINE, CA 92618-2568
(949) 588-2190
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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