Nistrian, Emanuel
Nistrian, Emanuel is an individual health care provider with primary practice located at 3901 Capital Mall Dr Sw Ste B , Olympia WA 98502-8654. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Student, Health Care / Student in an Organized Health Care Education/Training Program. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Nistrian, Emanuel can be contacted via phone (360) 528-8571.Contact Information
Primary practice address
3901 Capital Mall Dr Sw Ste B
Olympia WA 98502-8654
Phone: (360) 528-8571
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | RN60309732 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | RNA21366 | Maine |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 60309732 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | AP61320756 | Washington |
Profile Details
| NPI number | 1093373458 |
|---|---|
| LBN Legal business name | Nistrian, Emanuel |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2019 |
| Last updated | Apr 30th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093373458 | NPPES |
| Washington | MEDICAID | 2278162 |
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