Organization
MISTYRUSHINGCRNA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY DAWN RUSHING CRNA (PRESIDENT)
(707) 774-5907
Entity
Organization
Contact information
Practice address
505 MELVIN ST, PETALUMA, CA 94952-2465
(707) 774-5907
Mailing address
505 MELVIN ST, PETALUMA, CA 94952-2465
(707) 774-5907
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
617372
CA
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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