Organization
SILVERDALE ANESTHESIA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ANDREW JOHNSON RN (PRACTICE ADMINISTRATOR)
(360) 479-1952
Entity
Organization
Contact information
Practice address
3261 NW MOUNT VINTAGE WAY STE 221, SILVERDALE, WA 98383-6039
(360) 479-1952
(360) 479-0318
Mailing address
3261 NW MOUNT VINTAGE WAY STE 221, SILVERDALE, WA 98383-6039
(360) 479-1952
(360) 479-0318
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
10/15/2021
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