Individual
AMY CHALOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1717 S J ST, TACOMA, WA 98405-4933
(844) 364-2778
(253) 985-6879
Mailing address
1717 S J ST, TACOMA, WA 98405-4933
(844) 364-2778
(253) 985-6879
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
155707
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60894982
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2121259
—
WA
Enumeration date
12/04/2017
Last updated
08/03/2021
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