Individual
FE M DEMIAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1016 TACOMA AVE, SUNNYSIDE, WA 98944
(509) 837-1500
Mailing address
PO BOX 2329, MOUNT VERNON, WA 98273-7329
(360) 466-2542
(360) 466-2682
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30005209
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0191200
DEPARTMENT OF LABOR AND INDUSTRIES
WA
01
—
4984DE
REGENCE BLUE SHIELD
WA
05
—
9629205
—
WA
01
—
P00224710
RAILROAD MEDICARE
WA
Enumeration date
11/17/2006
Last updated
05/22/2008
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