Individual
TRISTA MICHELE VANASSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 QUALITY DR, VACAVILLE, CA 95688-9494
(707) 624-4000
Mailing address
1027 WOOD HOLLOW CIR, FAIRFIELD, CA 94533-1667
(707) 631-9315
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95001091
CA
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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