Develde, Daniel

Develde, Daniel is an individual health care provider with primary practice located at 901 Mt View Dr , Shelton WA 98584-4401. 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. Develde, Daniel can be contacted via phone (360) 426-1611.

Contact Information

Primary practice address
901 Mt View Dr Shelton WA 98584-4401
Phone: (360) 426-1611
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN00082710 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP30005186 Washington

Profile Details

NPI number 1851353288
LBN Legal business name Develde, Daniel
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Dec 16th, 2011 - about 13 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 1851353288 NPPES
Washington Other DE3509 BLUE CROSS OF WA
Washington MEDICAID 9624859 BLUE CROSS OF WA

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