Individual
ISRAEL DEMENEZES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
528 WASHINGTON HWY, MORRISVILLE, VT 05661-8973
(802) 888-8888
Mailing address
528 WASHINGTON HWY, MORRISVILLE, VT 05661-8973
(802) 888-8888
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN260367
MA
207L00000X
Anesthesiology Physician
101.0134462
VT
367500000X
Certified Registered Nurse Anesthetist
Primary
101.0134462
VT
390200000X
Student in an Organized Health Care Education/Training Program
RN260367
MA
Other
Enumeration date
08/24/2015
Last updated
07/19/2023
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