NPIRadar

Jonathan Entwisle Valid NPI

Individual provider · Certified Registered Nurse Anesthetist · Palo Alto, CA

NPI
1972934719
Type
Individual (Type 1)
Primary specialty
Certified Registered Nurse Anesthetist (Nurse Anesthetist, Certified Registered)
Specialty group
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy code
367500000X
License number
CRNA95000308 (CA)
Sex
Male
Sole proprietor
Yes
Enumerated
2013-12-04
Last updated
2015-09-14
Practice location
2452 Watson Ct
Palo Alto, CA 94303-3216
(650) 723-6995

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