Individual
ARTI O TANGEDA
Active
Individual
ARTI O TANGEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024165609
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139230
TRIGON
VA
05
—
1518942838
—
VA
01
—
K142-0002
CARE FIRST 2005
VA
01
—
P00323745
RAILROAD MEDICARE
VA
Enumeration date
12/09/2005
Last updated
03/03/2008
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