Most Relevant Information
Provider Data
NPI Number: | 1003380429 |
Provider Name: | ANDREW J IRIZARRY DNP, CRNA |
Entity Type: | Individual |
Taxonomy Code: | 367500000X |
Specialty: | Nurse Anesthetist, Certified Registered |
License Number: | AP61080718 |
Most Important Dates
Enumeration Date: | 01/18/2019 |
Last Updated: | 06/13/2024 |
Provider Practice Location
9040 JACKSON AVE
TACOMA
WA
984310001
Practice Location Phone/Fax
Phone: | 3305093934 |
Fax: |
Provider Mailing Location
3116 HARTS LAKE RD S
ROY
WA
985809105
Provider Mailing Phone/Fax
Phone: | 3305093934 |
Fax: |