Grossheim, Jana

Grossheim, Jana is an sole proprietor health care provider with primary practice located at 2300 E 30Th St Bldg A , Farmington NM 87401-8991. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Grossheim, Jana can be contacted via phone (505) 326-6400.

Contact Information

Primary practice address
2300 E 30Th St Bldg A Farmington NM 87401-8991
Phone: (505) 326-6400
Fax: (505) 326-4606
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 54968 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 144782 Missouri

Profile Details

NPI number 1518999853
LBN Legal business name Grossheim, Jana
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2006
Last updated Feb 11th, 2014 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1518999853 NPPES
New Mexico Other P00753281 RR MEDICARE
New Mexico MEDICAID 444549 RR MEDICARE
New Mexico MEDICAID 915256317 RR MEDICARE
New Mexico MEDICAID 26379562 RR MEDICARE
New Mexico MEDICAID 1518999853 RR MEDICARE
New Mexico MEDICAID 68527578 RR MEDICARE

Popular Providers