Individual
MISS TRISHA ELLEN KILIANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10 WAYMAN LN, BAR HARBOR, ME 04609-1625
(207) 288-5081
Mailing address
4810 POINT FOSDICK DR NW, BOX #224, GIG HARBOR, WA 98335-1711
(360) 402-5767
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00119304
WA
171000000X
Military Health Care Provider
—
—
367500000X
Certified Registered Nurse Anesthetist
CRNA#AP30006474
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA243002
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
367500000X
—
WA
01
—
G8898257
MDCR PTAN (K)
WA
01
—
G8912171
MDCR PTAN (P)
WA
01
—
RNA243002
MAINE BOARD OF NURSING
ME
Enumeration date
01/23/2006
Last updated
04/08/2024
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