Individual
MR. MICHAEL REIN ISE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
990 SYLVAN WAY, BREMERTON, WA 98310-2851
(360) 479-3657
Mailing address
990 SYLVAN WAY, BREMERTON, WA 98310-2851
(360) 479-3657
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14-140939-062
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60894656
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2121492
—
WA
Enumeration date
10/26/2017
Last updated
08/03/2021
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