Individual
PHYLLIS KANTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
1804 EMBARCADERO RD, PALO ALTO, CA 94303-3341
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1080
CA
367500000X
Certified Registered Nurse Anesthetist
CRNA800100
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730232372
—
NV
01
—
RN4056160
MEDICAL
CA
Enumeration date
01/18/2007
Last updated
02/27/2015
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