Grenon, David K

Grenon, David K is an individual health care provider with primary practice located at 34515 9Th Ave S , Federal Way WA 98003-6761. 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. Grenon, David K can be contacted via phone (253) 588-7911.

Contact Information

Primary practice address
34515 9Th Ave S Federal Way WA 98003-6761
Phone: (253) 588-7911
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP30001027 Washington

Profile Details

NPI number 1114072725
LBN Legal business name Grenon, David K
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated May 5th, 2008 - about 16 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 1114072725 NPPES
Washington MEDICAID 9640053

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