Individual
FREDRICK L MASTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
914 S SCHEUBER RD, CENTRALIA, WA 98531-9027
(360) 736-2803
(360) 330-8970
Mailing address
909 N BROADWAY, EVERETT, WA 98201-1409
(425) 317-0246
(425) 317-0291
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30004440
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN00055066
STATE LICENSE
WA
Enumeration date
05/01/2007
Last updated
07/08/2007
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