Individual
MR. NATHANIEL SORIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8740
Mailing address
209 SASSAFRAS DR, MADERA, CA 93637-5027
(661) 633-2300
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2307
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA0023070
BLUE SHIELD OF CALIFORNIA
CA
05
—
RN3301300
—
CA
Enumeration date
07/28/2006
Last updated
06/07/2019
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