Individual
MR. GUSTAVO PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60201304
WA
367500000X
Certified Registered Nurse Anesthetist
RN60127676
WA
Other
Enumeration date
12/08/2010
Last updated
09/18/2024
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