Individual
MS. DENISE ALLEN CABALZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6335 HOSPITAL PKWY STE 304, JOHNS CREEK, GA 30097-5712
(404) 778-8311
Mailing address
6335 HOSPITAL PKWY STE 304, JOHNS CREEK, GA 30097-5712
(404) 778-8311
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
3475
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
RN 165245
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN1651
—
SC
01
—
P00691780
RR MEDICARE
SC
Enumeration date
01/14/2008
Last updated
08/11/2016
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