Most Relevant Information
Provider Data
NPI Number: | 1003184706 |
Provider Name: | JANASSA OPICHKA CRNA |
Entity Type: | Individual |
Taxonomy Code: | 367500000X |
Specialty: | Nurse Anesthetist, Certified Registered |
License Number: | 2012002065 |
Most Important Dates
Enumeration Date: | 12/08/2011 |
Last Updated: | 05/16/2019 |
Provider Practice Location
13123 E 16TH AVE
AURORA
CO
800457106
Practice Location Phone/Fax
Phone: | 7208480000 |
Fax: |
Provider Mailing Location
339 CONSORT DR
BALLWIN
MO
630114439
Provider Mailing Phone/Fax
Phone: | 6363869224 |
Fax: | 6362004243 |