NPI 1730556937 · live from the CMS NPI Registry
Israel Demenezes, CRNA
Nurse Anesthetist, Certified Registered in Morrisville, VT. National Provider Identifier 1730556937, active.
NPI record
| NPI | 1730556937 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Anesthetist, Certified Registered 367500000X |
| Practice location | 528 Washington Hwy, Morrisville, VT 05661 |
| Practice phone | 802-888-8888 |
| Enumerated | August 24, 2015 |
| Last updated | July 19, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN260367 (MA) |
| Anesthesiology | 207L00000X | 101.0134462 (VT) |
| Student in an Organized Health Care Education/Training Program | 390200000X | RN260367 (MA) |
| Nurse Anesthetist, Certified Registered primary | 367500000X | 101.0134462 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.