Vriesenga, Paul

Vriesenga, Paul is an individual health care provider with primary practice located at 601 E Rollins St , Orlando FL 32803-1248. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Vriesenga, Paul can be contacted via phone (407) 667-0444.

Contact Information

Primary practice address
601 E Rollins St Orlando FL 32803-1248
Phone: (407) 667-0444
Fax: (407) 667-4338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP9218591 Florida

Profile Details

NPI number 1619124880
LBN Legal business name Vriesenga, Paul
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2008
Last updated Aug 19th, 2008 - about 15 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 1619124880 NPPES
Florida MEDICAID PENDING
Florida Other PENDING

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