Individual
MIHAELA VIVIAN MANAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2000 S MAYS ST STE 201, ROUND ROCK, TX 78664-7580
(512) 244-4272
Mailing address
2000 S MAYS ST STE 201, ROUND ROCK, TX 78664-7580
(512) 244-4272
(254) 245-9178
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
680031
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202893806
—
TX
05
—
202893807
—
TX
Enumeration date
05/05/2009
Last updated
01/13/2021
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