Vantassel, Katrina Sue

Vantassel, Katrina Sue is an individual health care provider with primary practice located at 1304 Oak St , Melbourne FL 32901-3111. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Vantassel, Katrina Sue can be contacted via phone (321) 723-4723.

Contact Information

Primary practice address
1304 Oak St Melbourne FL 32901-3111
Phone: (321) 723-4723
Fax: (321) 727-1448
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP9245162 Florida

Profile Details

NPI number 1386789865
LBN Legal business name Vantassel, Katrina Sue
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Jun 11th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386789865 NPPES
Florida MEDICAID 308248200
Florida Other G4232
Florida Other P00424084

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