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